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r! SANJ04MOCOUNTY PUBLIC HEAL CES <br /> P O Box 388 mKToN, CA 95201-0388 • Pnori�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 /> i <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE # 0053. for PR4600 1 <br /> 4524 WILLED Nl. cMINB FACILITY HEALTH PERMIT <br /> Valid from 01/01/96 to 12/31/ <br /> � 1 <br /> i <br /> s <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 Valli ONLY for <br /> OWNER NAME : VlEtAM CONVALESCENT HOSPITAL <br /> 'THIS FOM MUST BE DISPLAYED C0HWICWJSLY ON THE RISES <br /> REGRATED FACILITY: VIENNA CONVALESCENT HOSPITAL Facility Iil, 000517 <br /> 800 S HAM LANE Account ID: 0000S 1 G <br /> LODI . CA 95242 Permit Issued; 03/29/9C, <br /> CONTACT : VIENNA C NVALESCENT HOSP I <br /> BILLING AWSS, <br /> VIENNA CONVALESCENT T HOSPITAL <br /> 800 S HAM LANE <br /> LODI ,, CA 95242 <br /> ,a� b <br />