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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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HAM
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521
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4500 - Medical Waste Program
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PR0450055
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COMPLIANCE INFO
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Entry Properties
Last modified
2/9/2023 12:05:38 PM
Creation date
7/3/2020 10:16:29 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0450055
PE
4520
FACILITY_ID
FA0000388
FACILITY_NAME
Lodi Outpatient Surgical Center
STREET_NUMBER
521
Direction
S
STREET_NAME
HAM
STREET_TYPE
LN
City
LODI
Zip
95242
CURRENT_STATUS
02
SITE_LOCATION
521 S HAM LN STE F
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4520_PR0450055_521 S HAM_.tif
Tags
EHD - Public
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k <br /> SAN JOAQUUNTY ENVIRONMENTAL HEALAEPARTMENT <br /> 1868 E. Hazelton Ave. • Stockton,CA 95205-6232 • Phone(209)468-3420 <br /> Donna Heran,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4520-PRIMARY CARE FACILITY <br /> `f Permit ID# PT0000396 for Record ID# PR0450055 <br /> Valid From 1/1/2013 To 12/31/2013 <br /> w� <br /> y <br /> h V <br /> s <br /> V, <br /> x <br /> h M <br /> Y • . a "' .. _ <br /> yYrk = <br /> a� <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> x rg PERMIT(s)Valid only for: ARTEL LLC <br /> DBA: LODI OUTPATIENT SURGICAL CENTE <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />'PAT';', Regulated Facility: Facility ID FA0000B0 <br /> s LODI.OUTPATIENT$URWCAL CENTS <br /> z� 521 S.HAM LN #F " AccountlD AR000038-7 <br /> W` LODI .CA 95240 Issued 11/26/2012 ; <br /> ` <br /> ITTN . ARTEL LLC <br /> . tIti1Ql-OUTPATIENT SURGICAL CENTSx' <br /> n, <br /> f >, 821.S HAM LANE STE,F <br />�' tQDI CA 95240 <br /> ^ <br />
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