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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 4642 - SMALL COMMUNITY PUBLIC WATER SYSTEM with Tx <br /> Permit ID# PT0026539 for Record ID # PR0542770 <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: MARLOW, JOHN & MARIANNE <br /> DBA: ISLANDER MARINA <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: ISLANDER MARINA Facility ID FA0001053 <br /> 20801 S WOODWARD AVE Account ID AR0001051 <br /> MANTECA CA 95336 Issued 5/19/2022 <br /> Billing Address: ATTN : MARLOW, JOHN & MARIANNE <br /> ISLANDER MARINA <br /> PO BOX 7537 <br /> MENLO PARK CA 94026 <br /> 7027.rpt End of Report <br />