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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 4654-TRANSIENT NONCOMMUNITY PUBLIC WATER SYSTEM with Tx <br /> Permit ID# PT0026648 for Record ID# PR0543005 <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: HERN, JASON & HANGAARD, JASON <br /> DBA: OLDE TOWNE RESTAURANT& BAR <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: OLDE TOWNE Facility ID FA0004256 <br /> 15040 E HWY 120 Account ID AR0003938 <br /> RIPON CA 95366 Issued 7/21/2023 <br /> Billing Address: ATTN : JASON HERN <br /> OLDE TOWNE <br /> 15040 E HWY 120 <br /> RIPON CA 95366 <br /> 7027.rpt End of Report <br />