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BILLING_BILLING 2020
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0527306
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BILLING_BILLING 2020
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Entry Properties
Last modified
4/8/2020 11:16:52 AM
Creation date
4/8/2020 11:16:05 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
BILLING 2020
RECORD_ID
PR0527306
PE
1628
FACILITY_ID
FA0018493
FACILITY_NAME
New Hope Post Acute Care
STREET_NUMBER
2586
STREET_NAME
BUTHMANN
STREET_TYPE
Ave
City
Tracy
Zip
95376
APN
214-490-130-000
CURRENT_STATUS
01
SITE_LOCATION
2586 Buthmann Ave
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
JCastaneda
Tags
EHD - Public
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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E. Hazelton Ave. • Stockton,CA 95205-6232 • Phone(209)468-3420 <br /> Linda Turkatte,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 1628 LICENSED HEALTH CARE FACILITY <br /> Permit ID# PT0019105 for Record ID# PR0527306 <br /> Valid From 8/1/2019 To 7/31/2020 <br /> * * * DUPLICATE * * * <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: CALIFORNIAAVIV LLC <br /> DBA: <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: NEW HOPE POST ACUTE CARE Facility ID FA0018493 <br /> 2586 BUTHMANN AVE Account ID AR0032691 <br /> TRACY, CA 95376 Issued 1/22/2020 <br /> Billing Address: ATTN : NEW HOPE POSTACUTE CARE <br /> NANCY LEE <br /> 2586 BUTHMANN AVE <br /> TRACY, CA 95376 <br /> 7024.rpt <br />
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