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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 4634 - TRANSIENT-NONCOMMUNITY PUBLIC WATER SYSTEM <br />Permit ID # PT0026776 for Record ID # PR0543291 <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 />BEREA BAPTIST CHURCH STOCKTON <br />Regulated Facility: <br />4957 QUASHNICK RD <br />STOCKTON CA 95212 <br />Facility ID <br />Account ID <br />Issued <br />FA0016350 <br />AR0028740 <br />8/31/2021 <br />BEREA BAPTIST CHURCH STOCKTON CA <br />ATTN : KEVIN SCHWEMLEY, TREASURERBilling Address: <br />BEREA BAPTIST CHURCH STOCKTON CA <br />PO BOX 2389 <br />LODI CA 95241--238 <br />7027.rpt End of Report