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S ,r <br /> SAN JOAQUINOCOINTY ENVIRONMENTAL HEALT 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 - 4520 PRIMARY CARE FACILITY <br /> Permit ID# PT0022153 for Record ID# PR0536158 <br /> Valid From 1/1/2014 To 12/31/2014 ' <br /> 1. <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: STOCKTON OUTPATIENT SURGERY CENTER, LLC <br /> DBA: AMBULATORY SURGERY CTR OF STKN <br /> THIS FORAM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: AMBULATORY SURGERY CTR OF STOCKTOI Facility ID FA0020112Account ID AR0035878 <br /> 2388 N CALIFORNIA ST <br /> STOCKTON CA 95204 issued 11/22/2013 <br /> Billing Address: AMBULATORY SURGERY CTR OF STOCKTON <br /> 2388 N CALIFORNIA ST <br /> STOCKTON CA 95204 <br />