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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 4522 -ACUTE CARE FACILITY <br /> Permit ID# PT0000585 for Record ID # PR0450003 <br /> Valid From 1/1/2024 To 12/31/2024 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: LODI MEMORIAL HOSPITAL ASSOC., INC. <br /> DBA: LODI MEMORIAL HOSPITAL -WEST <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: LODI MEMORIAL HOSPITAL Facility ID FA0000513 <br /> 975 S FAIRMONT AVE Account ID AR0000512 <br /> LODI CA 95240 Issued 3/11/2024 <br /> Billing Address: ATTN : DONNA MCCAULEY <br /> ADVENTIST HEALTH LODI MEMORIAL HOSPITAL <br /> 975 S FAIRMONT AVE <br /> LODI CA 95240 <br /> 7027.rpt End of Report <br />