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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 4622- SMALL COMMUNITY PUBLIC WATER SYSTEM <br /> Permit ID # PT0026619 for Record ID# PR0542911 <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: ESQUIVEL, PABLO & MAVY <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: CARIBOU MOBILE PARK PWS Facility ID FA0004168 <br /> 3431 CHERRYLAND AVE Account ID AR0004249 <br /> STOCKTON CA 95205 Issued 5/27/2022 <br /> Billing Address: ATTN : ESQUIVEL, PABLO & MAVY <br /> CARIBOU MOBILE PARK PWS <br /> 3542 MILLICENT CT <br /> SAN JOSE CA 95148 <br /> 7027.rpt End of Report <br />