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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 1/10/2010 To 12/31/2010 <br /> 61r wt� qn dy x F"°a ,.i <br /> tiG zt i d nay <br /> t r y tkf u' x a rt <br /> d y <br /> i � <br /> trNl'-0Y <br /> xs r A s Y q ra <br /> Al, {„z T a 7 4 4 4 x n a 4 <br /> nwTj <br /> VA <br /> T,1 v�r4- } c b { 4 y <br /> 7 -1 <br /> = M p ra } 2A <br /> x� nab tr <br /> Pp <br /> F ". <br />� 1 �� `l ! ,js k t"�' d i- s f i ♦ i' #r S k y '�" I/ `t f 1 f�pz'"d�+'�'" <br /> .«s•z '+ �'�t k°« ! �: r't C � w�r�5 � �� t c� r4� t� x�e �ac�^ fi f��a <br /> x:1 W <br /> j�t <br /> cX��" <br /> 4_u 2 A A' �o h 1w 3 .,�4 € x <br /> ik Y M i <br /> F Ewid'7% .`S t <br /> v,w I JsrT <br /> `1 <br /> v I #G ki 5k NXl 1� t r' n it= a *ham % e #I <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 /> }} a t �sb0 <br /> x <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> r. s ;<3€��3z .',:t. w,fM °,.`5 - <br /> i Regulated Facility: DAVITA MANTECA DIALYSIS CENTER Facility io FA0013665 <br /> x Account ID AR0022822 <br /> M 1156 S MAIN ST r Issued 12/2/2009 <br /> MANTECA CA 95336 <br /> x �s 2, <br /> rr # <br /> Billing Address: ATTN : LICENSURE &CERTIFICATION DEPT €, <br /> s , DAVITA MANTECA DIALYSIS CENTER <br /> n _ a . s - <br /> 5200 VIRGINIA WAY �a°�,fi�x ��� �� �� � � € i;� t ,� �^� �� <br /> s BRENTWOOD TN 37027 <br /> a uar, x E3 <br />�� " s 'Y ys q CY rJ a a Q iz <br /> r^ <br /> .�" �; 'z,• +�d� •..�Narar.ar.'ct�sArfi�.��iaJ�.,��r��i:.aa §'Sdc.,e&,.�umk,, k wec <br />