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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# PT0025303 for Record ID# PR0541254 <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: DVA RENAL HEALTHCARE INC <br /> DBA: MANTECA DIALYSIS <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: MANTECA DIALYSIS Facility ID FA0023636 <br /> 1620 W YOSEMITE AVE Account ID AR0043687 <br /> MANTECA CA 95337 Issued 12/21/2022 <br /> Billing Address: ATTN : MANTECA DIALYSIS <br /> ATTN: L&C DEPT <br /> 5200 VIRGINIA WAY <br /> Brentwood TN 37027 <br /> 7027.rpt End of Report <br />