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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 4622 - SMALL COMMUNITY PUBLIC WATER SYSTEM <br />Permit ID # PT0026629 for Record ID # PR0542931 <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 />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />IRON OAK PROPERTIES <br />Regulated Facility: <br />19142 N JACK TONE RD <br />LOCKEFORD CA 95231 <br />Facility ID <br />Account ID <br />Issued <br />FA0004205 <br />AR0003887 <br />5/27/2021 <br />LOCKEFORD MOBILE HOME PARK WTR SYS <br />ATTN : IRON OAK PROPERTIESBilling Address: <br />LOCKEFORD MOBILE HOME PARK WTR SYS <br />1647 WILLOW PASS RD #300 <br />CONCORD CA 94520 <br />7027.rpt End of Report