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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# PT0026526 for Record ID# PR0542727 <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: FORD, PAUL & LOIS <br /> DBA: VILLA CEREZOS <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: VILLA CEREZOS Facility ID FA0000332 <br /> 12348 N HWY 99 Account ID AR0000331 <br /> LODI CA 95240 Issued 5/25/2023 <br /> Billing Address: ATTN : FORD, PAUL <br /> VILLA CEREZOS <br /> PO BOX 655 <br /> ELVERTA CA 95626 <br /> 7027.rpt End of Report <br />