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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 4642- SMALL COMMUNITY PUBLIC WATER SYSTEM with Tx <br /> Permit ID# PT0026512 for Record ID# PR0542689 <br /> Valid From 7/1/2023 To 6/30/2024 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: LEPELLEY FAMILY TRUST <br /> DBA: COUNTRY MANOR MOBILE ESTATES <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: COUNTRY MANOR MOBILE ESTATES Facility ID FA0000063 <br /> 17251 N TRETHEWAY RD Account ID AR0000062 <br /> LOCKEFORD CA 95237 Issued 5/25/2023 <br /> Billing Address: ATTN : LEPELLEY, HAROLD <br /> COUNTRY MANOR MOBILE ESTATES <br /> 7124 OSPITAL RD <br /> VALLEY SPRINGS CA 95252 <br /> 7027.rpt End of Report <br />