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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# PT0026803 for Record ID# PR0543354 <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: TRACY ISLAMIC CENTER <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: TRACY ISLAMIC CENTER WATER SYSTEM Facility ID FA0022534 <br /> 11970 W LARCH RD Account ID AR0041219 <br /> TRACY CA 95306 Issued 7/5/2022 <br /> Billing Address: ATTN : ASIF, MOHAMMAD <br /> TRACY ISLAMIC CENTER WATER SYSTEM <br /> PO BOX 1644 <br /> TRACY CA 95378 <br /> 7027.rpt End of Report <br />