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` SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E. Hazelton Ave. • Stockton,CA 95205-6232 • Phone(209) 468-3420 <br /> Donna Heran,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 3612-PUBLIC POOL/SPA-ADDITIONAL <br /> Permit ID# PT0002444 for Record ID#PR0360225 <br /> Valid From 2/1/2013 To 12/31/2013 <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 FA0002451 <br /> 6545 EMBARCADERO DR Account ID AR0004760 <br /> STOCKTON CA 95219 slued 8128/2013 <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 />