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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 4621 - SMALL COMMUNITY PUBLIC WATER SYSTEM <br /> Permit ID# PT0026624 for Record ID# PR0542918 <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: WYLIE, BILL& GAIL <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: B&G MOBILE HOME PARK LLC WS Facility ID FA0004178 <br /> 24064 N HWY 99 Account ID AR0003860 <br /> ACAMPO CA 95220 Issued 6/28/2023 <br /> Billing Address: ATTN : WYLIE, BILL& GAIL <br /> B&G MOBILE HOME PARK LLC WS <br /> 2379 PALM AVE <br /> LIVERMORE CA 945504607 <br /> 7027.rpt End of Report <br />