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1868 E.Hazelton Ave. •Stockton, CA 95205-6232 •Phone (209)468-3420 <br />Jasjit Kang, R.E.H.S., Director <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - PE 3611 - PUBLIC POOL/SPA - PRIMARY <br />Permit ID # PT0028138 for Record ID # PR0547009 <br />Valid From 6/28/2021 To 12/31/2021 <br />PERMIT TO OPERATE - PE 3612 - PUBLIC POOL/SPA - ADDITIONAL <br />Permit ID # PT0028139 for Record ID # PR0547010 <br />Valid From 6/28/2021 To 12/31/2021 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s) Valid only for: <br />DBA: <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />HIDEAWAY AT RIVER ISLANDS (POOL) <br />VILLAGE CC 120, LLC <br />Regulated Facility: <br />2400 CONSTELLATION WAY <br />LATHROP CA 95330 <br />Facility ID <br />Account ID <br />Issued <br />FA0026641 <br />AR0050750 <br />7/13/2021 <br />HIDEAWAY AT RIVER ISLANDS (POOL) <br />ATTN : JENSEN, LAYNEBilling Address: <br />HIDEAWAY AT RIVER ISLANDS (POOL) <br />2900 ADAMS ST STE C25 <br />RIVERSIDE CA 92504 <br />7027.rpt End of Report