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01 <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> k•. <br /> 600 E. Main St. • Stockton,CA 95202-3029 • Phone (209)468-3420 <br /> Donna Heran,R.E.H.S.,Director <br /> �g <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4524-SKILLED NURSING FACILITY <br /> Permit ID#PT0022149 for Record ID# PR0536151 <br /> Valid From 1/1/2012 To 12/31/2012 <br /> 3 <br /> ` <br /> - -' �4t' t•Jf.I�� <br /> 4 �5 <br /> b l g <br /> -t 4,; <br /> i W A <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 /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Facility ID FA0018490 <br /> Regulated Facility: DELTA REHAB & CARE CENTER n ; <br /> 1334 S HAM LN Account ID AR0032688 '` <br /> LODI CA 95242 Issued 11/3012011gk Y fix` <br /> Billing Address: <br /> DELTA REHAB & CARE CENTER <br /> 1334 S HAM LN ✓� <br /> LODI CA 95242 <br /> M t . <br /> 7020.rp1 <br /> � xx <br />.a.�....,s__ �....5%#d:. ...� � __ _`��...m-=�..__,..r:. ._u<<. .�.,._._>;.-_W rLt.x„ ,tr4e.i.�„_,�c�..t .>^_...r�_,,.•_-moi ..�„ ._.._. - .. _... .. .. . ._ .... . _ _._ <. _ cx;'<d� u.., <br />