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SAN JOA IN COUNTY PUBLIC HEALTH &VICES <br /> 304 E.WEBER AVE.,THIRD FLOOR • STOCKTON,CA 95202 • PHONE(209)468-3420 <br /> KAREN FURST, M.D., M.P.H., HEALTH OFFICER <br /> DONNA HERRN,R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4041 POULTRY RANCH 50000-99999 BIRDS <br /> Permit ID# PT0000688 for Record ID# PR0400026 <br /> Valid From 1/1101 To 12/31/01 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: GERVASE, STEVE&AGNES <br /> DBA: GERVASE FARMS <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: GERVASE FARMS Facility ID FA0000682 <br /> 15401 S WAGNER RD Account ID AR0000681 <br /> RIPON, CA 95366 Issued 1/10/2001 <br /> Billing Address: ATTN : GERVASE, STEVE&AGNES <br /> GERVASE FARMS <br /> 10406 E SOUTHLAND <br /> MANTECA, CA 95336 <br /> 7020.rpt <br />