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0 <br />State of California -Health and Human Servicescy <br />,1 0 <br />Department of Health Services <br />Page 4 of 4 pages <br />License Number: 5766-39 <br />Amendment Number: 15 <br />25. A copy of this license and a copy of all records and documents pertaining to this license shall be maintained available <br />for inspection at 7373 West Lane, Stockton, CA. <br />Prepared By: <br />Reviewed By: <br />Issuet artment of Health <br />a,k aie <br />Services <br />Printed Name: M is Y. Smith <br />Prints Name: Heidi S. O'Connell <br />Printe e: onzalo L. Perez <br />Date: October 5, 2004 <br />Radiologic Health Branch <br />MS 7610, P.O. Box 997414 <br />Sacramento, CA 95899-7414 <br />