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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E. Hazelton Ave. • Stockton, CA 95205-6232 • Phone (209) 468-3420 <br />Donna Heran, R.E.H.S., Director <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - 3611 - PUBLIC POOL/SPA - PRIMARY <br />Permit ID # PT0000075 for Record ID # PR0360334 <br />Valid From 111/2013 To 12/3112013 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: SEGAL FAMILY TRUST DTD 2/13/82 <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: COUNTRY MANOR MHP <br />17251 N TRETHEWAY RD <br />LOCKEFORD CA 95237 <br />Facility iD FA0000063 <br />Account ID AR0000062 <br />Issued 11/2612012 <br />Billing Address: ATTN : LA CUM BRE MANAGEMENT CO <br />COUNTRY MANOR MHP <br />100 N HOPE AVE STE #1 <br />SANTA BARBARA CA 93110 <br />