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SAN J0,AQUOMFOUNTY ENVIRONMENTAL HEALT*EPA.1RTMENT' <br /> 1806 E.Hazelton Ave. a Stockton, CA 95205-6232'• Phone(209)468-3420 <br /> Donna Heran,R.E.H.$:,Director <br /> I <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4530-LG QUANITY GENERATOR <br /> Permit ID# PT0015338 for Record ID# PR0522690.. <br /> Valid From 1/1/2015 To 12/31/2015 <br /> tot C04\AQ 1 <br /> Da ita® <br /> Tracy Dialysis Center#3857 www.davita.com <br /> 425 W.Beverly Place,Suite A <br /> Tracy,CA 95376 <br /> Tel:209-839-0398 <br /> Fax:209-839-0799 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: DVA Healthcare Renal Care, Inc. <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Fatuity: DAVITA TRACY DIALYSIS Facility ID FA0010846 <br /> 425 W BEVERLY PL A Account ID AR0017846 <br /> TRACY CA 95376 Issued 11/21/2014 <br /> Billing Address: ATTN : TRACY DIALYSIS <br /> DAVITA TRACY DIALYSIS <br /> 5200 VIRGINIA WAY <br /> BRENTWOOD TN 37027 <br />