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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 4644- STATE SMALL PUBLIC WATER SYSTEM <br /> Permit ID # PT0027311 for Record ID# PR0543262 <br /> Valid From 1/1/2023 To 12/31/2023 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: SAMBADO, LAWRENCE J & BEVERLY <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: A SAMBADO & SON 39-370/WTR SYS Facility ID FA0013764 <br /> 15294 E EIGHT MILE RD Account ID AR0023136 <br /> LINDEN CA 95236 Issued 12/19/2022 <br /> Billing Address: ATTN : A SAMBADO & SON INC <br /> A SAMBADO & SON 39-370/WTR SYS <br /> 8077 N TULLY RD <br /> LINDEN CA 95236 <br /> 7027.rpt End of Report <br />