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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E.Hazelton Ave•Stockton,CA 95205-6232•Phone(209)468-3420 <br /> Jasjit Kang,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - PE 4530-LG QUANITY GENERATOR <br /> Permit ID# PT0027842 for Record ID# PR0546503 <br /> Valid From 1/1/2023 To 12/31/2023 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: PATTISON DIALYSIS LLC <br /> DBA: DAVITA GRANT LINE DIALYSIS <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: DAVITA GRANT LINE DIALYSIS Facility ID FA0026367 <br /> 2955 N CORRAL HOLLOW RD# 101 Account ID AR0050123 <br /> TRACY CA 95376 Issued 11/29/2022 <br /> Billing Address: ATTN : MCDOWELL, BRAD <br /> DAVITA GRANT LINE DIALYSIS <br /> 5200 VIRGINIA WAY, L&C DEPT <br /> BRENTWOOD TN 37027 <br /> 7027.rpt End of Report <br />