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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 4622 - SMALL COMMUNITY PUBLIC WATER SYSTEM <br /> Permit ID# PT0026676 for Record ID# PR0543077 <br /> Valid From 7/1/2022 To 6/30/2023 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: SAN JUAN VISTA,A CA LMTD PRTS <br /> DBA: SAN JUAN VISTA <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: SAN JUAN VISTA Facility ID FA0004403 <br /> 408 N FILBERT ST Account ID AR0004085 <br /> STOCKTON CA 95205 Issued 5/19/2022 <br /> Billing Address: ATTN : LARRY SMITH <br /> SAN JUAN VISTA <br /> 1029 BISMARCK TER <br /> BRENTWOOD CA 94513 <br /> 7027.rpt End of Report <br />