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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 Kong,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> ANNUAL OPERATING FEE PAID-PE 4622 - SMALL COMMUNITY PUBLIC WATER SYSTEM <br /> Permit ID# PT0026629 for Record ID# PR0542931 <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: IRON OAK PROPERTIES <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: LOCKEFORD MOBILE HOME PARK WTR SYS Facility ID FA0004205 <br /> 19142 N JACK TONE RD Account ID AR0003887 <br /> LOCKEFORD CA 95231 Issued 5/19/2022 <br /> Billing Address: ATTN : IRON OAK PROPERTIES <br /> LOCKEFORD MOBILE HOME PARK WTR SYS <br /> 1647 WILLOW PASS RD#300 <br /> CONCORD CA 94520 <br /> 7027.rpt End of Report <br />