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SAN JUIN COUNTY PUBLIC HEAL nmndmdv TRVICES <br /> P O Box 388 • SToCHTON, CA 95201-0388 • PHO (209) 468-3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA RERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO ATE 21A. for PR4.5002-3:s <br /> 4524 SKII I NURSING FACILITY HEALTH PERMIT <br /> Valid from 01/01/97 to 12/31/97 <br /> ,r <br /> k <br /> PERMITS TO OPERATE and ANNUAL PERMIT EEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> Those referenced above are Valid ONLY for <br /> OWNER NAME i LODI TH CARE CENTER <br /> THIS FCS MUST RE DISPLAYED COWICtCUSLY ON THE PREMISES <br /> iE6ULATEQ FACILITY, LODI HEAL Til CARE CENTER Facility IN 000207 <br /> 1120 :=,YI_V I A CSR Accmt I0; Cit=0("-)20r- <br /> LODI , C:A 952-40 Permit Issued; 03/10/97 <br /> BILLING %, <br /> LODI HEALTH CARE CENTER <br /> 1120 S`LVIA DR <br /> LODI , CA 96240 <br /> s, <br />