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SAN JOIN 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 HERAN, R.E.H.S., DIRECTOR ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4522 ACUTE CARE FACILITY <br /> Permit ID# PT0005633 for Record ID# PR0450109 <br /> Valid From 1/1/00 To 12/31/00 <br /> PERM ITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: ST JOSEPHS MEDICAL CENTER CORP <br /> DBA: <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Facility ID FA0000998 <br /> Regulated Facility: ST DOMINIC'S HOSPITAL Account ID AR0000995 <br /> 1777 W YOSEMITE AVE Issued 3/16/2000 <br /> MANTECA, CA 95336 <br /> Billing Address: ATTN : ST DOMINIC'S ACCT PAYABLE <br /> ST DOMINIC'S HOSPITAL <br /> 1777 W YOSEMITE AVE <br /> MANTECA, CA 95336 <br /> 7020.rpt \ <br />