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EHD Program Facility Records by Street Name
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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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Y y <br /> l 1 1 <br /> t <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT r . <br /> y 600 E. Main St. • Stockton'CA 95202-3029 • Phone(209)468-3420 <br /> Donna Heran,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTHAk <br /> PERMIT TO OPERATE - 4520-PRIMARY CARE FACILITY #fi <br /> Vt k <br /> Nj a <br /> Ttuh ` � islt�t <br /> Permit ID# PT0000396 for Record ID# PR0450055 tlw <br /> Valid From 1/1/2012 To 12/31/2012 <br /> 44, <br /> �5 <br /> + � Rn m C 1T <br /> C' <br /> 46 <br /> arr. gyp. Fa <br /> t rk y 3 of <br /> �w`� E �� _ lv a at w w .'j< Ut e. to ���� ,•a� d , ey <br /> i <br /> $ _ ry <br /> b a <br /> � G <br /> r <br /> - <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: ARTEL <br /> ' <br /> DBA: LODI OUTPATIENT SURGICAL CENTE k <br /> vf <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: LODI OUTPATIENT SURGICAL CENTS Facility ID FA0000388 <br /> 521 S HAM LN # F `4: Account io AR0000387 <br /> LODI CA 95240 issued 11/30/2011 <br /> Billing Address: ATTN : ARTEL LLC <br /> LODI OUTPATIENT SURGICAL CENTS ' °iso" )1' " � ' ' <br /> t - 4 td snz w 5 Y r 4 S <br /> "�thp <br /> 521 S HAM LANE STE F �= ;` � � }�t <br /> LODI CA 95240 r vx" , s h � ,� <br /> 7020.rpt <br /> � a ) y� <br /> `�"" a� �:. �Lb y.,��"{H.a��.5:� �'���' �. $ s2�i,_�s,.,}tG-d,'vs.�, r.�';r,. ., ,r....,_5,d3 ,.� .�.� td . <br />
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