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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DRAWMENT <br /> 364 E.W Av Third Floor :Stodzton,CA 95202-2708• Phooe(!"4W,429 <br /> ?orina I Ieran R E.H.S::birector{ <br /> Fh " ONMEN' =l j'I'I <br /> AgtM#ID#PT0000585 for- R ID,#P-0450003 <br /> Valid,From 1/112000 TO.lZU12006 <br /> . ���i�4r ri I� I�n�.il�r�INlf. if11Y II�Y MIhlh i��l�iiur�IrW�Gri 1 �1�+4 •`:; <br /> • <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may SUSPENDED or REVOKED for cause. <br /> PERMIT(s}Valld,oniy':i`or. L61DI MEMORIAL HOSPITAL <br /> 13 A: LORI MEMORIAL HOSPITAL.t 1,OST <br /> ' TAIS FORM MUST BE DISPLAYED CO NSPICIJOUSLX,bP1. 1'ItEMISS <br /> aeuit . F8,00`1A00t flT1 <br /> 975'S FAIRMONT AVE au:.oW v,fy' AR000051' <br /> LQI1.GA 9¢24v .tssuo 12/112005 <br /> e <br /> smingAddress: LObII EMORIAL'440SPITAI: <br /> 975 S'PAIRMON`FAVE <br /> L ODI:OA,9.5244', <br /> 7M.mt <br />