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W. <br /> 4 <br /> 3 <br /> IN <br /> "Y <br /> SAN JOAQ-LTU*U NITY ENVIRONMENTAL HEALT <br /> NT <br /> 4,7, t4' <br /> 1868 E.Hazelton Ave. 6 <br /> Stockton,CA 95205-6232 9 Phone(209)4 8- 42 <br /> 7 <br /> ,1 <br /> ,02 <br /> Donna Heran,R.E.H.S.,Director <br /> "AU, <br /> ENVIRONMENTAL HEALTH <br /> qq, <br /> V,q <br /> PERMIT TO OPERATE 4524-SKILLED NURSING FACILITY <br /> Permit ID# PT0022150 for Record ID# PR0536152 <br /> Valid From 11112015 To 12/31/2015 <br /> 6 ,5 <br /> 40, <br /> v <br /> "Y <br /> 1A <br /> "go <br /> It, <br /> X <br /> 4 <br /> 4 <br /> 4, <br /> -Mh <br /> i 40� " <br /> e�X <br /> Tc <br /> g�, <br /> iS I <br /> w �Y, <br /> 4 <br /> I'll, Ig <br /> V­� <br /> N"! <br /> X 4 <br /> 2 <br /> t,5 vX ,,z�lu <br /> 4A <br /> � <br /> V4 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> Tz <br /> and may be SUSPENDED or REVOKED for cause. '0, <br /> :A <br /> PERMIT(s)Valid only for: GROSS CONVALESCENT INC <br /> Ap <br /> I <br /> DBA: WINE COUNTRY CARE CENTER <br /> v­ <br /> q, <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THEIPREMISES <br /> Regulated Facility: WINE COUNTRY CARE CENTER Facility ID FA0009044 <br /> 321 W TURNER RD AccountlD <br /> AR0016044 <br /> Issued 1112112014 <br /> LODI CA 95240 <br /> 41i <br /> 'Billing Address: ATTN : GROSS, PAUL <br /> WINE COUNTRY CARE CENTER <br /> "Y11 <br /> LODI CA 95240 <br /> 321 W TURNER RD <br />