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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 4520-PRIMARY CARE FACILITY <br /> Permit ID# PT0018798 for Record ID# PR0526860 <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: SUTTER GOULD MEDICAL FOUNDATION <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: SUTTER GOULD Facility ID FA0018191 <br /> 2505 W HAMMER LN Account ID AR0031991 <br /> STOCKTON CA 95209--283 Issued 12/23/2022 <br /> Billing Address: ATTN : ACCOUNTS PAYABLE <br /> SUTTER GOULD MEDICAL FOUNDATION <br /> 600 COFFEE RD <br /> MODESTO CA 95355 <br /> 7027.rpt End of Report <br />