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121 <br /> k q t <br /> ;.�. ae s y. <br /> "t '# roa,` r r "V`.� �.tS gY ,fw{�s>s s.` iv ° ' "�"At rt • a ?" <br /> SAN JOAQUI13'COUNTY ENVIRONMENTAL IJEALTRE'PARTMENT <br /> 1868 E. Hazelton Ave. • Stockton,CA 95205-6232 • Phone(209) 468-3420 fry <br /> r <br /> Donna Heran,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> r PERMIT TO OPERATE - 4524-SKILLED NURSING FACILITY " <br /> Y <br /> 61 <br /> Permit ID#PT0022165 for Record ID# PRO536170 tg v Y <br /> Valid From 1/1/2014 To 12/31/2014 <br /> K, " p rP <br /> $� <br /> _ �Akt <br /> g*ay,`ra <br /> 4 9r�' <br /> " qif <br /> ;k p <br /> 54,r <br /> Balm 'x <br /> - I- <br /> ;q;a <br /> g <br /> e <br /> Pk< rrr dd 1 <br /> a. Al <br /> qy� g 1 �t yd;�� <br /> ,'R,*" .y< <br /> " ar �Za r ,t!{, 0 <br /> , <br /> 3 <br /> .. ,.`,n�3 r"',,., p ,y:= 9., ' �,h A3 Kra i + �r k5cs >v •;, 14 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: SNF WINDSOR 2�, �� <br /> DBA: WINDSOR HAMPTON CARE CENTER �{ <br /> v <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Facility ID FA0010957 <br /> Regulated Facility: HAMPTON CARE CENTERk <br /> Account ID AR0017957 <br /> 442 E HAMPTON ST �' t �� g <br /> Issued 11/22/2013 <br /> Aiq <br /> STOCKTON CA 95204 r r !� ' t ' ,; > � p <br /> Billing Address: HAMPTON CARE CENTER r '` K <br /> 442 E HAMPTON ST ` 3 _'T: <br /> STOCKTON CA 95204 <br /> M" <br /> 3 § a _V6 <br /> � ¢ v <br /> : <br />