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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 4630-NONTRANSIENT-NONCOMMUNITY PUBLIC WATER SYSTEM <br /> Permit ID# PT0026700 for Record ID# PR0543156 <br /> Valid From 7/1/2023 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: PISTACCHIO, TOM <br /> DBA: COZAD WATER SYSTEM <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: COZAD WATER SYSTEM Facility ID FA0004481 <br /> 4907 WATERLOO RD Account ID AR0004163 <br /> STOCKTON CA 95215 Issued 5/30/2023 <br /> Billing Address: ATTN : TOM PISTACCHIO <br /> COZAD WATER SYSTEM <br /> 4907 WATERLOO RD <br /> STOCKTON CA 95215 <br /> 7027.rpt End of Report <br />