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<br /> SAN,IOAQUIN � OUNTY ENVIRONMENTAL HEALT4_1ARTMENT
<br /> 1868E Hazelton Ave. • Stockton, CA 95205-6232 • Phone (209) 468-73420,
<br /> Donna Heran,R.E.H.S.,Director ,`
<br /> MotENVIRONMENTAL HEALTH
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<br /> r PERMIT TO OPERATE - 4520-PRIMARY CARE FACILITY , .
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<br /> 1.. Permit ID# PT0022140 for Record ID# PR0536143 �! ,
<br /> a 4` Valid From 1/1/2015 To 12/31/2015
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<br /> r 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
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<br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES
<br /> Facility ID FA0012186
<br /> Regulated Facility: CHANNEL MEDICAL CENTER #
<br /> � 4 AccountID AR0019593
<br /> 701 E CHANNEL ST ��
<br /> s <+ '� � Issued 11/21/2014
<br /> STOCKTON CA 952023 � �i I "�
<br /> + Billing Address: ATTN : LOPEZ, DAVID
<br /> CHANNEL MEDICAL CENTERSP � �
<br /> PO BOX 779 IN .
<br /> STOCKTON CA 95201-0779 s � , '��
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