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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E.Hazelton Ave•Stockton,CA 95205-6232•Phone(209)468-3420 <br /> Jasjit Kang,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - PE 1628-LICENSED HEALTH CARE FACILITY <br /> Permit ID# PT0019092 for Record ID # PR0527293 <br /> Valid From 1/1/2023 To 12/31/2023 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: DYCORA TRANSITIONAL HEALTH - QUAIL LAKES LLC <br /> DBA: DYCORA TRANSITIONAL HEALTH - QUAIL LAKES LLC <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> -11 <br /> Regulated Facility: DYCORA TRANSITIONAL HEALTH - QUAIL LAKES LLC Facility ID FA0001270 <br /> 1221 ROSEMARIE LN Account ID AR0001268 <br /> STOCKTON, CA 95207 Issued 2/7/2023 <br /> Billing Address: ATTN : <br /> DYCORA TRANSITIONAL HEALTH -QUAIL LAKES LLC <br /> 1221 ROSEMARIE LN <br /> STOCKTON, CA 95207 <br /> combined.rpt End of report <br />