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SAN JOAQUI —OUNTY ENVIRONMENTAL HEALTIOEPARTMENT <br /> 600 E.Main St. • Stockton,CA 95202-3029 • Phone(209)468-3420 <br /> Donna Heran,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4520-PRIMARY CARE FACILITY <br /> Permit ID#PT0022153 for Record ID#PRO536158 <br /> Valid From 1/1/2011 To 12/31/2011 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: AMBULATORY SURGERY CTR OF STKN <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: AMBULATORY SURGERY CTR OF STOCKTOI Facility ID FA0020112 <br /> 2388 N CALIFORNIA ST Account ID AR0035878 <br /> STOCKTON CA 95204 Issued 5/3/2011 <br /> Billing Address: AMBULATORY SURGERY CTR OF STOCKTON <br /> 2388 N CALIFORNIA ST <br /> STOCKTON CA 95204 <br /> 7020-rpt <br /> 4 <br /> �v <br />