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_+ SAN JOACOUNTY PUBLIC HEALTH�VICES <br /> P O Box 388 T STOCKTON, CA 95201-0388 • PHO 09) 468-3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA HERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO ATE # 000214 for FR4-6003 <br /> 4524 SKII LE[1 NURSING FACILITY HEALTH PERMIT <br /> Valid from 01/01/96 to 12/31/96 <br /> I <br /> a <br /> 1 <br /> i <br /> i <br /> PERMITS Ti i OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> Those referenced above are Valid ONLY for <br /> OWN'C-R N( N1 -" : LSI HEALTH CAW CENTER <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY O! THE PREMISES <br /> REWTED FACILITY; L,L"'fDi HEALTH CAFE CENTER Facility ID: 000207 <br /> 112o DP Acramt 10. 000020" <br /> 1-001 , C:fl F`ermit ISsuedi 05/10r9f_ <br /> BILLIW3' ADMZ, <br /> `.ODT HE-ALTH CARE CENTER <br /> 1120 SYLVIA DR, <br /> LODI , CA 952'.40 <br /> i <br /> r <br />