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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E. Main St. • Stockton,CA 95202-3029 • Phone(209)468-3420 <br /> Donna Heran,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4530-LG QUANITY GENERATOR <br /> Permit ID # PT0015339 for Record ID# PR0522691 <br /> Valid From 1/1/2012 To 12/31/2012 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: DAVITA INC <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: DAVITA MANTECA DIALYSIS CENTER <br /> Facility ID FA0013665 <br /> 1156 S MAIN ST <br /> Account ID AR0022822 <br /> MANTECA CA 95336 Issued 11/30/2011 <br /> Billing Address: ATTN : LICENSURE & CERTIFICATION DEPT <br /> DAVITA MANTECA DIALYSIS CENTER <br /> 5200 VIRGINIA WAY <br /> BRENTWOOD TN 37027 <br /> 7020.rpt <br />