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4F i <br /> SAN JOAQUIN uOUNTY ENVIRONMENTAL HEALTH.APARTMENT <br /> 1868 E.Hazelton Ave. • Stockton,CA 95205-6232 • Phone(209)468-3420 <br /> Donna Heran,RE.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 3611 -PUBLIC POOL/SPA-PRIMARY <br /> Permit ID# PT0002443 for Record ID#PR0360081 <br /> Valid From 1/112014 To 1213112014 <br /> PERMIT TO OPERATE - 3612-PUBLIC POOL/SPA-ADDITIONAL <br /> Permit ID#PT0002444 for Record ID# PR0360225 <br /> Valid From 4.11/2044 To 12131/2014 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: ROTHBARD, DR MORT <br /> DBA: WEST LANE RACQUET OUTDOOR SPA <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: MARINA YACHT& TENNIS CLUB Facility ID 0004 61 <br /> A <br /> Accounted A <br /> 6545 EMBARCADERO DR 3 <br /> Issued 111/22/2022120 13 <br /> STOCKTON CA 95219 <br /> Billing Address: ATTN : IN SHAPE HEALTH CLUBS INC <br /> MARINA YACHT&TENNIS CLUB <br /> 6 S EL DORADO ST FL 7 <br /> STOCKTON CA 95202 <br />