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1868 E.Hazelton Ave. •Stockton, CA 95205-6232 •Phone (209)468-3420 <br />Jasjit Kang, R.E.H.S., Director <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />ENVIRONMENTAL HEALTH <br />ANNUAL OPERATING FEE PAID - PE 4630 - NONTRANSIENT-NONCOMMUNITY PUBLIC WATER SYSTEM <br />Permit ID # PT0026572 for Record ID # PR0542840 <br />Valid From 7/1/2021 To 6/30/2022 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s) Valid only for: <br />DBA: <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />ESCALON UNIFIED SCHOOL DISTRICT <br />ESCALON UNIFIED SCHOOL DISTRIC <br />Regulated Facility: <br />6701 S JACK TONE RD <br />STOCKTON CA 95215 <br />Facility ID <br />Account ID <br />Issued <br />FA0002500 <br />AR0004649 <br />5/27/2021 <br />ESCALON USD- COLLEGEVILLE SCH <br />ATTN : ESCALON UNIFIED SCHOOL DISTBilling Address: <br />ESCALON USD- COLLEGEVILLE SCH <br />1520 E YOSEMITE AVE <br />ESCALON CA 95320 <br />7027.rpt End of Report