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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 4633 - TRANSIENT-NONCOMMUNITY PUBLIC WATER SYSTEM <br />Permit ID # PT0026750 for Record ID # PR0543248 <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 />FAITH COMMUNITY CHURCH OF THE NAZARENE <br />HUBBARD, WALTER SCOTT <br />Regulated Facility: <br />18621 N HWY 99 <br />ACAMPO CA 95220 <br />Facility ID <br />Account ID <br />Issued <br />FA0012661 <br />AR0020962 <br />5/27/2021 <br />FAITH COMMUNITY CHURCH OF THE NAZARENE <br />ATTN : FAITH COMMUNITY CHURCHBilling Address: <br />FAITH COMMUNITY CHURCH OF THE NAZARENE <br />PO BOX 1495 <br />LODI CA 95241 <br />7027.rpt End of Report