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SAN JOA* COUNTY PUBLIC HEALTH SF&CES <br /> 304 E.WEBER AVE.,THIRD FLOOR • STOCKTON,CA 95202 • PITON (209)468-3420 <br /> KAREN FURST,M.D.,M.P.H.,HEALTH OFFICER <br /> DONNA HERRN,R.E.H.S.,DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO SATE X763 for PRSO-S X49 <br /> 4K."24K."2SM QUANITY ORATOR EH PERMIT <br /> VaIjA from 01/0I./ to 12/31/98 <br /> PERMITS TO OPERATE ERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> Those referenced above are Valu ONLY for <br /> OWNER NAME:: DELTA HELATH CARE <br /> i3F:A: EDI•w:ON HEALTH CENTER <br /> THIS FORM MUST BE DISPLAYED CON+FIC1OUSLY ON THE PREMISES <br /> # <br /> REGUTED FACILITY: EDI'--ON HEALTH CENTER Facility ID: 0064 <br /> 1425 S CENTER ST Account. ID: 000 8610 <br /> `=;Ti IC KTE IN, CA 9S206 Permit I5su&i: <br /> BILLING AWSS: <br /> ED I SON HEALTH CENTER <br /> ATTN: ':;ARA GODWIN <br />