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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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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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y x BJP 7 } <br /> 7•. � <br /> # P <br /> A.`. <br /> SAN JOAQUI <br /> UNTY ENVIRONMENTAL HEALT APARTMENT <br /> } <br /> 600 E. Main St. • Stockton, CA 95202-3029 • Phone(209)468-3420 r <br /> fi-POP <br /> 4 <br /> Donna Heran, R.E.H.S., Director , <br /> ENVIRONMENTAL HEALTHIFF <br /> PERMIT TO OPERATE - 4520 -PRIMARY CARE FACILITYrg <br /> Permit ID# PT0000396 for Record ID#PR0450055 <br /> Valid From 1/1/2009 To 12/31/2009 V V111 <br /> +? ;^& <br /> g <br /> ?"`�•. r" - r t <br /> r Y' - _ ' �' i + � '��td«. a �� � �� s e•'* � � -� � .t B r x �' _y <br /> 'fio <br /> t <br /> '+ s{ .� i X}^ �' .! �. �•� }4S's`!'���i yu`'``'a a �°.�,'re r s�Ea r �N .'r �T '- s F r ` '�',�s�� <br /> w <br /> t _ T <br /> ,tr y 'hXae`'f <br /> ! ` & •P',. aM1 f x ��� .T" � ta: x fi ,rF i hgr yt 7 r >• ''i f d <br /> If kw rsc +F <br /> tY, , ' r•if ° ,� �,- a k;.`grr{n. a'a '.y " :� + ;' j <br /> s � x: <br /> +r <br /> ;+ftA <br /> •k`k.fs '} a r; ' "tRrXy a F� f '° ` i}'XZ �' <br /> ` '� z <br /> ,�� r , a } A�-yk�a --"�`? � R* '� �;r,� k �• rtY �d'_>y, <br /> x �l 's r r Xaa " '. <br /> t <br /> r P £ <br /> qtr(x ;s y t x t � t �y" <br /> S- <br /> r <br /> rf ' ;z}t F€ w ie) s+Rfr; !. <br /> e Sat , <br /> ;x� ti AJ';;R�d <br /> yF' <br /> r 9 <br /> ;s`,p ar - f,£ s <br /> ° a'.,, 4 <br /> yf ,&' uky+s�W.`�r lf.y <br /> t ,ps'4S�ryriyh :M t�'Xrk <br /> Fpsi . • .•f '>v <br /> F-�` y 7 'c d9 &aF ,s <br /> +�kA P a r <br /> `1 <br /> IT <br /> x r _ r `� rtc•,•�'vrt' # °¢nt ,a 7 yr rSz�Y rax c�a vat ' a ..±,1 :• h <br /> g z Y a /rte.. <br /> q <br /> +� <br /> x , d t <br /> 41 <br /> i a 5 r <br /> •�(yS �.' }` { -:� "x' s i< y i r t w }� r ' F to <br /> ,A <br /> °A <br /> 0M� <br /> t�rr <br /> * r <br /> PERMITS TO OPERATE are NOT TRANSFERABLE r <br /> and may be SUSPENDED or REVOKED for cause. . <br /> PERMIT(s)Valid only for: ARTEL LLC mw <br /> ¢ „ .. DBA, LODI OUTPATIENT SURGICAL CENTE €, t ^, <br /> t' .fx`. <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISESAl <br /> Regulated Facility: LODI OUTPATIENT SURGICAL CENTS 't t'» ux t� ` f Facility ID FA0000388 ° <br /> °' z t .•�, A uxX s g # f x Acountto521 SHAM LN # F AAR0000387 i <br /> S ,�12/8/2008ISSUedLODI CA 95240 <br /> t <br /> ffi 41,� <br /> u { 3a r & + f rg a t <br /> � >^,;. F� ,7..�:Sn:�a'�i �0.'�' �x 'a rrS� S 3 :y i j �fp>�� •3� <br /> BillingAddress: ; } s � 1 NZ <br /> ATTN : ARTEL LLC €= <br /> �b <br /> LODI OUTPATIENT SURGICAL CENTE k <br /> 521 S HAM LANE STE F <br /> LODI CA 95240 - <br /> r} <br /> ti•�"st`tfir4` <br /> 7020: <br /> r`�- <br />
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