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1868 E.Hazelton Ave. •Stockton, CA 95205-6232 •Phone (209)468-3420 <br />Jasjit Kang, R.E.H.S., Director <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - PE 1628 - LICENSED HEALTH CARE FACILITY <br />Permit ID # PT0019107 for Record ID # PR0527308 <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: <br />DBA: <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />RETIREMENT HOUSING FOUNDATION <br />PLYMOUTH SQUARE <br />Regulated Facility: <br />1319 N MADISON ST <br />STOCKTON, CA 95202 <br />Facility ID <br />Account ID <br />Issued <br />FA0003728 <br />AR0003307 <br />1/11/2022 <br />PLYMOUTH SQUARE <br />PLYMOUTH SQUAREATTN : Billing Address: <br />PSYCHE JOHNSON <br />1319 N. MADISON ST <br />STOCKTON, CA 95202 <br />End of reportcombined.rpt