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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E.Main St. • Stockton CA 95202-3029 • Phone 209 468-3420 <br /> r, Donna Heran,R.E.H.S.,Director <br /> ' a ENVIRONMENTAL HEALTH <br /> ` PERMIT TO OPERATE - 4520-PRIMARY CARE FACILITY <br /> t <br /> Permit ID#PT0022153 for Record ID# PR0536158 <br /> Valid From 1/1/2012 To 12/31/2012 <br /> K, - <br /> 'S <br /> fl <br /> U 11 <br /> E <br /> n <br /> 't <br /> t ?�r <br /> r bW. � u <br /> A. <br /> # $ <br /> / int , <br /> baxa <br /> V <br /> y € <br /> aF4 t e ,a.: r t t ps. 3°y.*:jp <br /> V1 <br /> i y., ✓' '{ /` M ^x z$'S x., '' a �. '� z " fix + y �', #g � <br /> �. � s cg <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and maybe SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: AMBULATORY SURGERY CTR OF STKN <br /> r t <br />�jr,r <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: AMBULATORY SURGERY CTR OF STOCKTOI Facility ID FA0020112 <br /> 2 <br /> Account ID AR0035878 <br /> 388 N CALIFORNIA ST <br /> STOCKTON CA 95204 issued 11/30/2011 :. <br /> n <br /> Billing Address: AMBULATORY SURGERY CTR OF STOCKTON <br /> 2388 N CALIFORNIA ST <br /> �.. P c-r�vv�E �'•$ 4 .yo-':_ <br /> STOCKTON CA 95204 <br /> 9 <br /> 7020.rpt <br /> i <br /> f <br /> - s <br /> .s 1A Lk :#Usa.. <br />