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COMPLIANCE INFO
EnvironmentalHealth
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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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i '� '� -• Y t 3 T f F f t r <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT x <br /> } <br /> 600 E. Main St. • Stockton, CA 95202-3029 • Phone(209)468-3420 <br /> I# <br /> Donna Heran, R.E.H.S., Director , , <br /> �� w"" <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4520-PRIMARY CARE FACILITY A, j , anxq <br /> Permit ID#PT0000396 for Record ID# PR0450055 <br /> Valid From 1/10/2010 To 12/31/2010a;j` ��,� <br /> x$r15p �. J L{Si pJ .iy. �`� "rY m'i:y <br /> ar F9 <br /> '' <br /> i <br /> g <br /> F. <br /> c F g* , <br /> '� k,�., �.r E hs; r•. t. ice{ aSi���y�v+ ,;�i3 '� -. �"��a 'E� �� �.. t t p <br /> 4, <br /> g7k..si t t §t f t �� ` i '� ,hA'k^ g'- }�5 ¢}. �,f *-33 „s•'aFJ"� g'°'s ,�E a� p k' ¢ y <br /> ,,.' 1.'t <br /> � L<<r' <br /> s <br /> AX <br /> kv <br /> C�"9 <br /> & t i <br /> h kt,, f i ' R �I;� fi � b �Y � .,R.,t J(ir�3 4� M �r {'% N 1 t � �"k t � nb,1✓ <br /> r c` v, a pr hmt„Sg t 17'F „ <br /> ` <br /> � � � � k i t��} A ! t' sr •'M�, V 2 Y� �+'�aF AF i,* L`��+,.' <br /> x sa <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause <br /> PERMIT(s)Valid only for: ARTEL LLC , r} '; v. w <br /> � tw ;sJk "'�,� <br /> G <br /> DBA: LODI OUTPATIENT SURGICAL EN <br /> - <br /> T .s <br /> TRIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: <br /> Facility ID FA0000388 <br /> y LODI OUTPATIENT SURGICAL CENTE r <br /> 521 S HAM LN # F <br /> �;`� Account ID AR0000387 <br /> �� � <br /> LODI CA 95240 Issued 12/2/2009 <br /> Billing Address: ATTN ARTEL LLC <br /> K� a> <br /> LODI OUTPATIENT SURGICAL CENTE W r <br /> 521 S HAM LANE STE F <br /> LODI CA 952404 <br /> 7027.rpt <br /> i E. <br />
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