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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 4633 -TRANSIENT NONCOMMUNITY PUBLIC WATER SYSTEM <br /> Permit ID# PT0026785 for Record ID# PR0543306 <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: ST BERNARDS CHURCH <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: PASTOR ST BERNARD CHRCH WTR SYS Facility ID FA0018525 <br /> 12100 W VALPICO RD Account ID AR0032763 <br /> TRACY CA 95377 Issued 6/28/2022 <br /> Billing Address: ATTN : PASTOR OF ST BERNARD CHURCH <br /> PASTOR ST BERNARD CHRCH WTR SYS <br /> 163 W EATON AVE <br /> TRACY CA 95376 <br /> 7027.rpt End of Report <br />