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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 4634-TRANSIENT NONCOMMUNITY PUBLIC WATER SYSTEM <br /> Permit ID# PT0026780 for Record ID# PR0543297 <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: MCQUEEN, JEANETTE M & MICHAEL <br /> DBA: CLEMENTS RIDGE PRODUCE <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: CLEMENTS RIDGE PRODUCE Facility ID FA0017584 <br /> 23363 HWY 88 Account ID AR0030498 <br /> CLEMENTS CA 95227 Issued 5/26/2022 <br /> Billing Address: ATTN : MCQUEEN, JEANETTE M & MICHAEL <br /> CLEMENTS RIDGE PRODUCE <br /> PO BOX 623 <br /> CLEMENTS CA 95227 <br /> 7027.rpt End of Report <br />