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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 4634-TRANSIENT NONCOMMUNITY PUBLIC WATER SYSTEM <br /> Permit ID# PT0026805 for Record ID# PR0543349 <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: CALIFORNIA ISLAMIC CENTER <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: CALIFORNIA ISLAMIC CENTER Facility ID FA0023350 <br /> 12882 N LOWER SACRAMENTO RD Account ID AR0043009 <br /> LODI CA 95240 Issued 7/7/2023 <br /> Billing Address: ATTN : KHAN, TAJ <br /> CALIFORNIA ISLAMIC CENTER <br /> PO BOX 2777 <br /> LODI CA 95241 <br /> 7027.rpt End of Report <br />