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SAN JOA IN COUNTY PUBLIC HEALTH SF yICES <br /> 304 E.WEBER AVE., IRD FLOOR • STOCKTON,CA 95202 • P (209)468-3420 <br /> KAREN FURST,M.D., M.P.H.,HEALTH OFFICER <br /> DONNA HERAN,R.E.H.S.,DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE # 005633 for� PRS01 09 <br /> 45'x' ACUTE GAME FACILITY HEALTH PERMIT <br /> Valid from 01/01/99 to 12l31/99 <br /> PERMITS T}� OPERATE and ANNUAL PERMIT FEE PAYMENT'S are NOT TRANSFERABLE <br /> and may be SUSPENDED Or REVOKED for cause. <br /> Those referenced above are Valid ONLY for <br /> 03.41NER NAME- ST JOSEP'HS MEDICAL CENTER CORP <br /> THIS F T BE #DI... YED CONSPICLOJSLY ON THE PREMISES <br /> REGULATED FACILITY: ST DCBM I N I C: ' , HO!:-:P I TAL Facility ILD; I_Ir:i(_99 8 <br /> 1%?? 10 YOSEMITE AVE Actcri3nt Ia i?00r._y995 <br /> MANTEC:A , s_A 95:-.G Perrjit Issued: s l l/19/99 <br /> CONTACT : ST DOMINIQUE'=; AC:C:T PAYABL <br /> BILLING ABB'FE ,, <br /> 'w;T DOM I;i I _ HOSP I TAL <br /> ATTR; ; ST DOM I N T( ` ' AC.0:T PAYABLE <br /> +'''�ANTEC�A . CA 953-236 <br />