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Alk 1111111k <br /> SAN JOAQ " IVIUNTY ENVIRONMENTAL HEA PARTENT <br /> 600 E. Main St. • Stockton,CA 95202-3029 • Phone(209)468-3420 <br /> Donna Heran, R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4524-SKILLED NURSING FACILITY <br /> Permit ID#PT0022157 for Record ID#PRO536162 <br /> Valid From 1/1/2011 To 12/31/2011 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: COVENANT CARE LODI LLC <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: COVENANT CARE LODI LLC Facility ID FA0009105 <br /> 900 N CHURCH ST <br /> Account ID AR0016105 <br /> LODI CA 95240 issued 4/15/2011 <br /> Billing Address: COVENANT CARE LODI LLC <br /> 900 N CHURCH ST <br /> LODI CA 95240 <br /> 7o2o.rpt <br /> I <br />