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z <br /> SAN JOAQUAOUNTY ENVIRONMENTAL HEALTREPARTMENT <br /> s <br /> 1868 E. Hazelton Ave. • Stockton, CA 95205-6232 9 Phone(209) 468-3420 <br /> WT <br /> Donna Heran,R.E.H.S.,Director <br /> k <br /> ENVIRONMENTAL HEALTH 1 <br /> C 4 <br /> AM� t � <br /> i � "Ms# y��a Vi=a <br /> PERMIT TO OPERATE '�*` 4524-SKILLED NURSING FACILITY <br /> Permit ID# PT0022150 for Record ID# PR0536152 , <br /> Valid From 1/1/2013 To 12/31/2013 <br /> Wt, <br /> ;?w <br /> ft 4V 77 <br /> evv <br /> NRVY <br /> ,,S r 1. <br /> - �• in -d1w, <br /> � � •'yak. s� + � � � 1 � r 1 "ins a7 �`a€ v � ro� +a.� `s � z¢Mi�` {e � �, <br /> Vyai��i�+' s,� �� � e � 4� � � �•� p'� z � § <br /> 4 <br /> ti 4 4 k <br /> A. <br /> k46, .s�rn" <br /> i <br /> d' <br /> o <br /> i r <br /> cp ,; s <br /> t h;� d <br /> a <br /> :g., /s <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> e _ <br /> ��; PERMIT(s)Valid only for: GROSS CONVALESCENT INC <br /> DBA: WINE COUNTRY CARE CENTER 'x z <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES ; <br /> w <br /> Regulated Facility: Facility ID FA0009044 <br /> WINE COUNTRY CARE CENTER <br /> 321 W TURNER RD � a Account ID AR0016044 <br /> LODI CA 95240 Issued 11/26/2012 <br /> f y <br /> t l <br /> Billing Address: ATTN : GROSS. PAUL "' a f � � � � ,k <br /> WINE COUNTRY CARE CENTER � a3 , <br /> _ r$ 321 W TURNER RD ,t+ <br /> LODI CA 95240 ° ,r � Will", mt��. r �A �, �1 <br /> LyaCx Yy -i+ ,�� <br /> ,44 <br /> '4v <br /> _ .�5 �;•r� Y� �> vs n '-i -� T',� � �.? su° � ..a F��d i :" rX� c �4'�����''� :.����°sds r�; <br /> r �,�J/ s i; a s ` f � " , ia is .¢r ' a$::rt ,, ex •, a- <br /> ,..#�.�al � *.t `.....r P3�2reuaiTM.��4�s�.,;���'�3.:.e�.u-.s�'$ix�s� �. � �t" �:T .� �%• � .,�;,,,';�i <br />