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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 4630-NONTRANSIENT-NONCOMMUNITY PUBLIC WATER SYSTEM <br /> Permit ID# PT0026722 for Record ID# PR0543209 <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: ESCALON UNIFIED SCHOOL DISTRIC <br /> DBA: ESCALON UNIFIED SCHOOL DISTRICT <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: EUSD -GATEWAY CHARTER Facility ID FA0007179 <br /> 17950 VAN ALLEN RD Account ID AR0010458 <br /> ESCALON CA 95320 Issued 6/28/2023 <br /> Billing Address: ATTN : EUSD CENTRAL CA CHILD DEV SVCS <br /> EUSD- GATEWAY CHARTER <br /> 1520 E YOSEMITE AVE <br /> ESCALON CA 95320 <br /> 7027.rpt End of Report <br />