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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E.Hazelton Ave•Stockton,CA 95205-6232•Phone(209)468-3420 <br /> Jasjit Kang,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - PE 1628-LICENSED HEALTH CARE FACILITY <br /> Permit ID# PT0019091 for Record ID # PR0527292 <br /> Valid From 8/1/2021 To 7/31/2022 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: GOLDEN ENTERPRISES <br /> DBA: GOLDEN LIVING CENTER <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: GOLDEN LIVING CENTER- PORTSIDE Facility ID FA0002069 <br /> 2740 N CALIFORNIA ST Account ID AR0002077 <br /> STOCKTON, CA 95204-5529 Issued 8/17/2021 <br /> Billing Address: ATTN : EXECUTIVE DIRECTOR <br /> GOLDEN LIVING CENTER- PORTSIDE <br /> 2740 N CALIFORNIA ST <br /> STOCKTON, CA 95204 <br /> combined.rpt End of report <br />