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SAN.JOAQUAUNTY ENVIRONMENTAL HEALTOEPARTMENT .; <br /> 1868 E. Hazelton Ave. • Stockton, CA 95205-6232 • Phone(209) 468-3420 <br /> r <br /> Donna Heran,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> Al <br /> PERMIT TO OPERATE - 4520-PRIMARY CARE FACILITY <br /> Permit ID# PT0022153 for Record ID# PR0536158 <br /> Valid From 1/1/2013 To 12/31/2013 <br /> f' <br /> : <br /> P; <br /> Y' <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 /> Facility ID FA0020112 <br /> Regulated Facility: AMBULATORY SURGERY CTR OF STQ1;KTO Account lo AR0035878 <br /> 2388 IV.EALIFORNIA ST <br /> STOCK70N CA 95204 issued 11/26/2012 'k <br /> ' i k <br /> BiuingAddress, `AMBULATORY SURGERY CTR OF STOCK ON r "N <br /> 2388 N CALIFORNIA ST <br /> -STOCKTON CA 95204 <br /> t " 41 <br />