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SAN JO*I,N COUNTY PUBLIC HEALTH AVICES <br /> 304 E.WEBER AVE.,THIRD FLOOR - STOCKTON,CA 95202 - PHONE(209)468-3420 <br /> KAREN FURST, M.D., M.P.H., HEALTH OFFICER <br /> DONNA RERAN, R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4524 SKILLED NURSING FACILITY <br /> Permit ID#PT0002061 for Record ID#PR0450029 <br /> Valid From 1/1/01 To 12/31/01 <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 /> DBA: BEVERLY MANOR OF STOCKTON <br /> THIS FORM MUST BE 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 1/16/2001 <br /> Billing Address: ATTN : BEVERLY MANOR OF STOCKTON <br /> BEVERLY MANOR OF STOCKTON <br /> 2740 N CALIFORNIA ST <br /> STOCKTON, CA 95204 <br /> 7020.rpt <br />