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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 # PT0026644 for Record ID # PR0542956 <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 />BETHANY TEMPLE <br />Regulated Facility: <br />3635 E CALAVERAS AVE <br />STOCKTON CA 95205 <br />Facility ID <br />Account ID <br />Issued <br />FA0004249 <br />AR0004235 <br />8/31/2021 <br />BETHANY TEMPLE WATER SYSTEM <br />ATTN : REV ROBERT PIMENTELBilling Address: <br />BETHANY TEMPLE WATER SYSTEM <br />PO BOX 8443 <br />STOCKTON CA 95208 <br />7027.rpt End of Report