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SAN JOAQUL OUNTY ENVIRONMENTAL HEALT DEPARTMENT f � s W <br /> *" 1868 E. Hazelton Ave. • Stockton,CA 95205-6232 • Phone(209) 468-3420 �� {F " <br /> t ��s <br /> # � <br /> Donna Heran,R.E.H.S.,Director f <br /> « � f ENVIRONMENTAL HEALTH <br /> MW <br /> PERMIT TO OPERATE - 4524-SKILLED NURSING FACILITY ` <br /> 5 <br /> kW 'wR.. 6 r# # <br /> a s r tiff y �C t ri <br /> Permit ID# PT0000523 for Record ID# PR0450031 p� ""'� <br /> Valid From 1/1/2014 To 12/31/2014 <br /> 4 r raw +y <br /> . ext t r y <br /> r97" <br /> � f S <br /> sm ft N x u b <br /> N <br /> �"` <br /> 2:� pt <br /> ; # 1 9 <br /> `� �O. <br /> ° � r 1 r 4 t X <br /> 3 Vis. <br /> 4, <br /> x g <br /> +� A8' <br /> ,c "ir tii s r x +y3'. k Axa <br /> te <br /> r r 3y -t ," 9 f`° £ # + �'�n, k x;_ ✓x r <br /> AF4 <br /> itrpzl <br /> r <br /> r u g '^" <br /> 91 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s) Valid only for: VIENNA CONVALESCENT HOSPITAL a <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES , <br /> y VIENNA CONVALESCENT HOSPITAL Facility to FA0000517 . <br /> Regulated Facility: <br /> 800 S HAM LN k > ' Account ID AR0000516 $< <br /> Issued 11/22/2013 t .. <br /> LODI CA 95242 ' <br /> Billing Address: VIENNA CONVALESCENT HOSPITAL ' <br /> 800 S HAM LANE <br /> �,. LODI CA 95242 <br /> °"',i <br />