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PA-2300278 (Z), Referral, S00015975 Early Consultation Page 2 of 2 <br /> 13650 N. Thornton Rd., Lodi January 18, 2024 <br /> 5. Submit Water Provision Declaration form to the Environmental Health Department for review. The <br /> Applicant may contact Natalia Subbotnikova, Program Coordinator, Small Public Water System <br /> Program, at (209) 468-0338 for questions regarding the Water Provision Declaration Form. <br /> 6. Should the number of non-resident individuals exceed 24 for at least 60 days per year, or the number <br /> of service connections exceed four, a yearly permit to operate a public water system will be required <br /> by the Environmental Health Department (San Joaquin County Development Title, Section 9- <br /> 602.010 and 9-601.030.). <br /> The supplier must possess adequate financial, managerial, and technical capability to assure <br /> delivery of pure, wholesome, and potable drinking water in accordance with San Joaquin County <br /> Development Title, Sections 9-602.010 and 9-601.030 and C.C.R., Title 22, and Health and Safety <br /> Code, Section 116525 through 116570. <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/ehd <br />