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a 3 f�: t+`A ��: t' ; x w '�",�—` n�� +�wsu"�"et s �r r a t Sr d ayr*�°��r t'� �, F• <br /> „ SAN JOAQUIAUNTY ENVIRONMENTAL HEALT .ARTMENTha ` <br /> 3 <br /> 1868E Hazelton Ave. • Stockton, CA 95205-6232 • Phone (209)468-3420 <br /> Donna Heran,R.E.H.S.,Director *a <br /> ass <br /> ENVIRONMENTAL HEALTH <br /> °� e«- }y-r r 4 a v { ^i t e, ,Vii'w 'v <br /> 'i <br /> ,.&qaw s X w'�^' $ � a>i _sa,. .'*i}i s ;a t r '* � "s <br /> �} <br /> �,n r 4-�. <br /> �7SYx � <br /> 3� 5 <br /> PERMIT TO OPERATE - 4524- SKILLED NURSING FACILITY .` <br /> W21, ID# PT0022149 for Record ID# PR0536151a <br /> Valid From 1/1/2015 To 12/31/2015 <br /> r,; <br /> i� <br /> gj mad.l a4 t� r ', .,sj,'p h J $f y4r �r✓ a r; �z 'R` `9i j `''' ! ,, `�`vt i:u <br /> xy�g':!Y 'fitzc <br /> f <br /> # <br /> r y�` <br /> .��N3 <br /> ;{ <br /> 40 <br /> rf 7 r i #T k <br /> t 1 Ery fkr .SI4 A k 4 dR� `a 3Yr4�t' <br /> 4.�* <br /> s t ,�T i r{§,, _ tr ,tt to R, <br /> � ^ <br /> I'M, <br /> Y Y hw <br /> 5. pa a^f hK> <br /> $x h at a F ,jr d E n { r r 4 Hai <br /> j7” "'c <br /> r� <br /> e ,rx* r N a St a S1 f i> IV, t, 6 o e x #`,=a <br /> f } < ?t ¢MV <br /> y t y .± #' <br /> 9�.• „a°n�� f :. '� .r �f` ,Y,9' k 6 , � n. : M x y - 1 �}>,r <br /> tj <br /> # }C p: s ✓ R fi; c4 { 4f toa <br /> E`c <br /> 'l p <br /> ., }�c % <br /> anf'( > r v SE ;.�..'�` i ys f it t rJ f +•h.+�a <br /> J"; <br /> 2 a 1�. '� •� i a'h r 7 Y "j,4 <br /> £� § s` <br /> baa .: � ��r 4 � s �n�tar 3' r 1• '�� 4 `�`S'z � �'b w 'x ..� a S � ` ���� $ �W�,[ t <br /> .A y 'r•1 Y � Y i ) ( SK q H. F,Y 5 <br /> t <br /> A ° ,�"�,'� +; r�r f 4 j � r"�, <br /> � Tis 7 a a a+ tF: t r5 � t �'_` m4 � t a`;-. �..d^• <br /> PERMITS TO }OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause, <br /> PERMIT(s)Valid only for DELTA REHAB & CARE CENTER <br /> rte 8�� q <br /> ' .`?+ cRIM' <br /> F�+ '' a k$.rr , ;.., '"i r �{ fir_ t<:• > err a,->! r r :ra,R a+ ` >� <br /> r <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: DELTA REHAB & CARE CENTER Facility ID FA0018490 <br /> �, Account lD AR0032688 <br /> 1334 S HAM LN <br /> a ax; Issued 11/21/2014 <br /> LODI CA 95242 w <br /> � �. <br /> Billing Address: DELTA REHAB & CARE CENTER <br /> 1334 S HAM LN <br /> r r LODI CA 95242 aAr y .� <br /> a ��a'jdnY $" i P' ski ^atl re•d� a f a r quo- ;*a n $ h " �!' aY4'r <br /> ' , <br />