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SAN JOAQUPt 1 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 - 3611 -PUBLIC POOL/SPA-PRIMARY <br /> Permit ID# PT0000735 for Record ID# PR0360602 <br /> Valid From 11112013 To 12/31/2013 <br /> PERMIT TO OPERATE - 3612-PUBLIC POOL/SPA-ADDITIONAL <br /> Permit ID# PT0000736 for Record ID# PR0360601 <br /> Valid From 1/1/2013 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: BROOKSIDE TERRACE COA POOL <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: BROOKSIDE TERRACE COA Facility ID FA0000730 <br /> 2250 S SCARBOROUGH DR Account ID AR0000729 <br /> LODI CA 95240 Issued 11/26/2012 <br /> Billing Address: BROOKSIDE TERRACE COA <br /> 1341 W ROBINHOOD DR STE C6 <br /> STOCKTON CA 95207-5515 <br />