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A SAN JOA j§[N COUNTY PUBLIC I]EALTH*VICFS <br />P 0 Box 388 MWSTOCKTON, CA 95201-0388 0 PHONE )468-3420 <br />ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br />DONNA HERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE # <br />4322 ACUTE CARE FACILITY HEALTH PERMIT <br />Valid from 01/01/9S to 12/31/9S <br />PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br />Those referenced above are Valid ONLY for <br />OWNER NAMEt ST JOSEPHS MEDICAL CENTER CORP <br />DBA" ST DCBM INIQUES HOSPITAL <br />HIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />R'ElkUTED FACILITY: ST DOMINICIS HOSPITAL Facility ID: 000998 <br />1777 W YOSEMITE AVE Account ID,- 000099S <br />MAN TECA, CA 953:36 Perruit Issued: 03/22/95 <br />E.-1UNG ADDRUSS! <br />ST DOM INIC'S HOSPITAL <br />ATTN: ST DCT INIC'S ACCT PAYABLE <br />1777 W YOSEMITE AVE <br />MANTECA, CA 953-36 <br />