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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E. Main St. • Stockton,CA 95202-3029 • Phone(209)468-3420 <br /> Donna Heran, R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4530-LG QUANITY GENERATOR <br /> Permit ID#PT0018687 for Record ID#PRO526718 <br /> Valid From 1/1/2011 To 12/31/2011 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: DAVITA INC <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />� Regulated Facility: DAVITA LODI DIALYSIS CENTER Facility ID FA0018090AccowriD AR0031818 <br /> 1610 W KETTLEMAN LN#D <br /> LODI CA 95242-3731 issued 12/10/2010 <br /> Billing Address: ATTN : LICENSURE&CERTIFICATION DEPT <br /> " DAVITA LODI"DIALYSIS CENTER <br /> r 5200 VIRGINIA:WAY <br /> BRENTWOOD TN 37027 <br /> 7027.Ipt _ �. <br />