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i <br /> *fi <br /> SAN JOA OUNTY �bNMEi 'i' HEAL; ' <br /> - NVt AL, TY'. AMEN '. <br /> 600 E.Main st. Stogictod,CA,,#1' %30Z9'*.Phonpe(;O)x}68-3420 <br /> s! -` DoaRs!,Wran,11 <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4520-PRIMARY CARE FACILITY <br /> Permit ID# PT0000396 for Record ID#PR0450055 <br /> Valid From 1/1/2008 To 12/31/2008 <br /> 1 <br /> 1 <br /> IV' <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> li and may be SUSPENDED or REVOKED for cause. <br /> ,L <br /> PERMIT(s)Valid only for: ARTEL LLC <br /> DBA: LODI OUTPATIENT SURGICAL CENTE <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: LODI OUTPATIENT SURGICAL CENTE Facility ID FA0000388 <br /> 521 SHAM LN # F Account ID AR0000387 <br /> LODI CA 95240 Issued 10/10/2008 <br /> >' Billing Address: ATTN : ARTEL LLC <br /> LODI OUTPATIENT SURGICAL CENTE <br /> 521 S HAM LANE STE F <br /> LODI CA 95240 <br /> ,I <br /> 7027.rpt <br /> r . <br />