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_ UBLI� HEALTH SERVICES <br /> SAN JOAQUIN COUNTY <br /> JOG[KHANNA M.D.,M.P.H. <br /> Health Officer <br /> P.O. Box 2009 (1601 Past Hazelton Avenue) • Stockton,California 95201 <br /> (209) 469-3400 <br /> 3 y qv !=-/�" ,Cc <br /> S' f*1 <br /> of / SWL �r�� � � — <br /> Facility Addres 3 S't� r..' C4-r�l too <br /> u Approved <br /> " See remarks <br /> u <br /> A owed with changes: <br /> ,^y Disapproved; See Remarks <br /> Remarks 4 <br /> Date ly11F By <br /> App 1 of these pla xtends only to that <br /> which is s am— escribed hereon but does <br /> not authoriz r appr omission or <br /> deviatin f requirements of State laws or <br /> '`�► local Ordinances. _ <br /> o� �!C P vt SP <br /> vPp-'�I a � «may <br /> D5f0511-7or O� o1Cf-k <br /> Y ) f (7T r LL <br /> L� / <br /> 2 �! <br /> ,�,, d is�rnC7�c�" �SP� �1���•�o% &tr c/'o std "u <br /> O 1,240 O VM <br /> %/i,' a /Sr rpt s e� s uwt� r <br /> e <br /> A Divisinn of Son Jnoquin County Health Core Services <br />