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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E.Hazelton Ave•Stockton,CA 95205-6232•Phone(209)468-3420 <br /> Jasjit Kang,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> ANNUAL OPERATING FEE PAID-PE 4633 -TRANSIENT-NONCOMMUNITY PUBLIC WATER SYSTEM <br /> Permit ID# PT0026534 for Record ID# PR0542742 <br /> Valid From 7/1/2022 To 6/30/2023 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: SBR PETRO INC <br /> DBA: COUNTRYSIDE LIQUORS & GAS <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: COUNTRYSIDE LIQUORS & GAS Facility ID FA0000540 <br /> 14971 N HWY 88 Account ID AR0000539 <br /> LODI CA 95240 Issued 5/19/2022 <br /> Billing Address: ATTN : RUPINDER PADDA <br /> COUNTRYSIDE LIQUORS & GAS <br /> 14971 N HWY 88 <br /> LODI CA 95240 <br /> 7027.rpt End of Report <br />