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j SAN Jj oCOUNTY PUBLIC HEALTdN CES <br /> P O Box 3 xTON, CA 95201-0388 • PH0N1 468-3420 <br /> ERNEST M. FUJIMOTO, M.D., M.P.H., ACTING HEALTH OFFICER <br /> DONNA RERAN, R.E.H.S., DIRECTOR, ENVIRONMENTAL HEALTH DIVISION <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE X523 for PR4SO031 <br /> 45?4 SKII.L.Ei? NURSING FACILITY HEALTH SIT <br /> Valid from 01101117 to 12!311'9' <br /> PERMITS TO OPERATE and ANNUAL PERMIT FEE PAYMENTS are NOT TRANSFERABLE <br /> and may he SUSPENDED or REVOKED for cause . <br /> Those referenced above are valid ONLY for <br /> OWNER NAME: VIE344A CONVALF-SCENT HOSPITAL <br /> THIS FORM NJST DE DISPLAYED CONSPICUCIU,' LY ON THE RISES <br /> &LATID FAILITY, VIENNA ENNA C ONVALE:, ENT HOSPITAL Facility ID: 000517 <br /> 200 S NAM LANE account ID; 0000S16 <br /> LODI1 CA 95`2'42 Pewit Issued. 03/10/97 <br /> E BILLINGS,,: <br /> VIENNA CONVALE-:-'GENT HOSPITAL <br /> Dt`0 S HAM LANE <br /> LOD I , CA 95242" <br /> j . <br />