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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 600 E. Main St. • Stockton, CA 95202-3029 • 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# PT0002871 for Record ID # PR0450056 <br /> Valid From 1/1/2011 To 12/31/2011 <br /> r _ <br /> ;,,v <br /> ,� ghat n. '•:.� .r `# dx �. i° r - ': Y ,`r 3 r <br /> 5 & ? krt qig' �.• <br /> 4 C; r't ',i � �k'�",rxe�. t �a•c ,gyp rbt k r t�.''�- i'�' ri f _i � .�.. �= �t r n ~f���A. �'P�l,t, c r <br /> �` <br /> �' ", r �k' + r 4 rx,�fiy'r-3'� <br /> sh� .rz V ttj( gyp' •Y �. t § s`? dp t^ r +, �r :+ 'bi <br /> A-yr.@ ar r <br /> t r •; :''Y.`��.x 4 ti., a `� I� +r t s si of+{ u$ a yY ' <br /> *') a - <br /> sp <br /> f <br /> Y4� <br /> .r YY as t y I� <br /> �W �,7���`p; < Y Y � 1 � at i y <br /> iR <br /> ,,t� <br /> Al <br /> ',s.' i ro ;•F7 � Y' 'rrr° i rr t s N G./ xa J <br /> Ji i,�� '�1}Si 4 ��� ��✓r`e' ��� ,. <br /> F}, ""a <br /> x= �r€'"G �" t . " } <br /> r 4 t tS ,� <br /> y� <br /> �s <br /> �1ta <br /> t a € y s w <br /> `&Y.` ty$' z <br /> tx it �J a <br /> �N t' <br /> I >� > � , ,�A • �' t t= art c � +; 'F'� <br /> �R. is r Y f < M,ya, � <br /> N. <br /> - <br /> w�g <br /> " <br /> h r s �d ^' � ;..nom` 1 •_ { <br /> � 9 r re t t f d <br /> _ 3"� r t3 <br /> d <br /> '� �' � �' a w ,��'+ x•, '_�����s r� 1�o �� ���j�rs� f t i a� �* 'e , � i x'a€xv.� r���'���`rf+l� �� `� a <br /> - °"gr'.r"� � :r„ f rz, "✓�' o�s-:i ). y�',:s o'�� t, `r r�- a�. 5' � 5.T � <br /> t PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> g w PERMIT(s)Valid only for: WAGNER HEIGHTS CONV HOSPITAL <br /> DBA WAGNER HEIGHTS NURSING & REHAB <br /> r <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: WAGNER HEIGHTS NURSING & REHAH CTR <br /> Facility ID FA0002878 <br /> Account ID AR0002439 <br /> 9289 BRANSTETTER PL <br /> STOCKTON CA 95209 Kk + Issued 12/1012010 <br /> ` t . <br /> ;:R' <br /> t A' ;ff <br /> BillingAddress: r <br /> WAGNER HEIGHTS NURSING & REHAB CTR � � 4 <br /> 9289 BRANSTETTER PL <br /> t:� {� >' <br /> STOCKTON CA 95209 <br /> C '.t. <br /> §• <br /> r1" w" 2$r Ott ,� + 'i} k <br /> ' <br /> J " <br /> Y �5"e 7'A�''' <br /> 41 <br /> '#n � � ��xgt "� � 5'� s � nt z �,'�,^{� ��'y * ya� '� �• _ t � r � ��ipi+�^�� r�+� <br /> a <br /> i 5� ?� �� AA v�,<z: " 4,rm � ,�,-..� + �.tt;�c� y „xr :°<€ .a;r"e •c.',s L + ,_�� ad- .r, �� .:w ,:,fir:� <br /> Y .. <br />