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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />1868 E. Hazelton Ave • Stockton, CA 95205-6232 • Phone (209) 468-3420 <br />Jasjit Kang, R.E.H.S., Director <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - PE 3611 - PUBLIC POOL/SPA - PRIMARY <br />Permit ID # PT0028138 for Record ID # PR0547009 <br />Valid From 1/1/2022 To 12/31/2022 <br />PERMIT TO OPERATE - PE 3612 - PUBLIC POOL/SPA - ADDITIONAL <br />Permit ID # PT0028139 for Record ID # PR0547010 <br />Valid From 1/1/2022 To 12/31/2022 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for. VILLAGE CC 120, LLC <br />DBA: HIDEAWAY AT RIVER ISLANDS (POOL) <br />THIS FORM MUST HE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: HIDEAWAY AT RIVER ISLANDS (POOL) Facility ID FA0026641 <br />2400 CONSTELLATION WAY AccountlD AR0050750 <br />LATHROP CA 95330 Issued 2/2/2022 <br />Billing Address: ATTN : JENSEN, LAYNE <br />HIDEAWAY AT RIVER ISLANDS (POOL) <br />2900 ADAMS ST STE C25 <br />RIVERSIDE CA 92504 <br />7027.rpt <br />End of Report <br />