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t F Y ' W_ 111� <br /> �' rye' `r vS` •„�- x ` rc <br /> ¢w} 1 $a <br /> SAN JOAQULOUNTY ENVIRONMENTAL HEALT EPARTMENT ;* a <br /> A 1868 E. Hazelton Ave. • Stockton,CA 95205-6232 • Phone(209) 468-3420 , rr . <br /> Donna Heran,R.E.H.S.,Director t � t� <br /> �9 <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4520-PRIMARY CARE FACILITY <br /> Permit I D# PT0022140 for Record ID# PRO536143 <br /> ' Valid From 1/1/2013 To 12/31/2013 <br /> ew <br /> Jr�€� _W1% <br /> Ar <br /> $ r3 <br /> t4 <br /> X9121! $5 <br /> Ir <br /> v M�^ r <br />[pf ) <br /> r s ,xx <br /> A. J;�j 0 <br /> k,51` ir -n r✓t: <br /> AMf3 t 5 F F k✓+ '"f tr2 J <br /> � =''f z,r .r., �� g i.'41 <br /> � kx� -; <br /> 4 r e <br /> 0 1W <br /> Z, <br /> gg > <br /> 14 _ <br /> a#."t4 `' <br /> p- <br /> ,PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for COMMUNITY MEDICAL CENTERS INC <br /> 5, <br /> 4. , "4^ , <br /> F <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Facility ID FA0012186 s <br />= Regulated Facility: CHANNEL MEDICAL CENTER <br /> f Account ID AR0019593 <br /> 701 E CHANNEL ST <br /> STOCKTON CA 95202 Issued 11/2612012 <br /> Billing Address: ATTN . MABALON, TERRIE t <br /> r <br /> CHANNEL MEDICAL CENTER <br /> PO BOX 779 <br /> STOCKTON CA 95201-0779 <br /> I p . <br /> r Y <br /> P.1z, <br />