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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 4633 -TRANSIENT NONCOMMUNITY PUBLIC WATER SYSTEM <br /> Permit ID# PT0026680 for Record ID# PR0543088 <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: GOLDEN LOCUST INC <br /> DBA: ESCALON GOLF COURSE <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: ESCALON GOLF COURSE WS Facility ID FA0004411 <br /> 17051 S ESCALON BELLOTA RD Account ID AR0004093 <br /> ESCALON CA 95320 Issued 5/30/2023 <br /> Billing Address: ATTN : SURTI, SHIBA <br /> ESCALON GOLF COURSE WS <br /> 6573 PURPLE CRAB DR <br /> NEWARK CA 94560 <br /> 7027.rpt End of Report <br />