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SAN JOW COUNTY PUBLIC HEALTUd VICES <br /> 4 <br /> P O Box 388 • STocxTON, CA 95201-0388 • PHO ) 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 /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE #00W54 f op PR450004 <br /> 622 ACUTE CARE FACILITY HEALTH PERMIT <br /> Valid from 01/01/96 to 12/31/96 <br /> i <br /> 1 <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 Valid ONLY for <br /> OWNER NAME ; MANTECA HOSPITAL <br /> THIS FORM K T BE DISPLAYED CONSPIqXX)SLY ON THE PREMISES <br /> REMATED FACILITY, MANTECA HOSPITAL Facility ID, 0008S3 <br /> 120S E NORTH Account I0: 0000051 <br /> MANTECA, CA 9S33G Permit Issued: 0 /(`)?/°_;r4 <br /> BILLING A#DREISK; <br /> MANTECA HOSPITAL <br /> O BOX 191 <br /> MANTECA, CIA, ;:;ti:336 <br />