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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 Kong,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> ANNUAL OPERATING FEE PAID-PE 4634-TRANSIENT NONCOMMUNITY PUBLIC WATER SYSTEM <br /> Permit ID# PT0026681 for Record ID# PR0543091 <br /> Valid From 8/18/2023 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: LAKHA MATHFALLU PROPERTIES LLC <br /> DBA: MOKELUMNE BEACH RV PARK <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: MOKELUMNE BEACH RV PARK Facility ID FA0004414 <br /> 18450 N HWY 99 RD Account ID AR0010416 <br /> ACAMPO CA 95220 Issued 10/13/2023 <br /> Billing Address: ATTN : SINGH, SANDASHNI <br /> MOKELUMNE BEACH RV PARK <br /> 18450 N HWY 99 RD <br /> ACAMPO CA 95220 <br /> 7027.rpt End of Report <br />