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i <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.Weber Ave.,Third Floor•Stockton,CA 95202-2708• Phone(209)468-3420 <br /> Donna Heran, R.E.H.S., Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4524-SKILLED NURSING FACILITY <br /> Permit ID#PT0002061 for Record ID#PR0450029 <br /> Valid From 1/1/2003 To 12/31/2003 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: BEVERLY MANOR OF STOCKTON <br /> THIS FORM MUST RE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: BEVERLY MANOR OF STOCKTON Facility ID FA0002069 <br /> 2740 N CALIFORNIA ST Account ID AR0002077 <br /> STOCKTON. CA 95204 Issued 1/17/2003 <br /> Billing Address: BEVERLY MANOR OF STOCKTON <br /> 2740 N CALIFORNIA ST <br /> STOCKTON, CA 95204 <br /> 7020.rpt <br />