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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 4634 -TRANSIENT-NONCOMMUNITY PUBLIC WATER SYSTEM <br /> Permit ID# PT0026792 for Record ID# PR0543346 <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: SINODINOS, WILLLIAM <br /> DBA: BACKWOODS BURGERS EXPRESS <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: BACKWOODS BURGERS EXPRESS Facility ID FA0023054 <br /> 29250 HWY 120 Account ID AR0042310 <br /> ESCALON CA 95320 Issued 5/19/2022 <br /> Billing Address: ATTN : SINODINOS, WILLLIAM <br /> BACKWOODS BURGERS EXPRESS <br /> 10204 ATLAS CT <br /> OAKDALE CA 95301 <br /> 7027.rpt End of Report <br />