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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 4644- STATE SMALL PUBLIC WATER SYSTEM <br /> Permit ID# PT0027293 for Record ID# PR0542908 <br /> Valid From 1/1/2022 To 12/31/2022 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: FOGELBERG, SARAH <br /> DBA: MOKELUMNE VIEW WATER SYSTEM <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: MOKELUMNE VIEW Facility ID FA0004165 <br /> 1210 WOODBRIDGE RD Account ID AR0003847 <br /> WOODBRIDGE CA 95258 Issued 4/29/2022 <br /> Billing Address: MOKELUMNE VIEW <br /> 1210 WOODBRIDGE RD <br /> WOODBRIDGE CA 95258 <br /> 7027.rpt End of Report <br />