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COMPLIANCE INFO_2011-2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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4500 - Medical Waste Program
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PR0536151
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COMPLIANCE INFO_2011-2019
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Last modified
2/10/2023 2:54:13 PM
Creation date
7/3/2020 10:19:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2011-2019
RECORD_ID
PR0536151
PE
4524
FACILITY_ID
FA0018490
FACILITY_NAME
LODI NURSING & REHABILITATION
STREET_NUMBER
1334
Direction
S
STREET_NAME
HAM
STREET_TYPE
LN
City
LODI
Zip
95242
APN
03107032
CURRENT_STATUS
02
SITE_LOCATION
1334 S HAM LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4524_PR0536151_1334 S HAM__2011-2019.tif
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EHD - Public
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SAN JOAQUIOUNTY ENVIRONMENTAL HEALTIPARTMENT <br /> 600 E.Main St. • Stockton,CA 95202-3029 • Phone(209)468-3420 <br /> Donna Heran,R.E.H.S., Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4524-SKILLED NURSING FACILITY <br /> Permit ID#PT0022149 for Record ID#PR0536151 <br /> Valid From 1/1/2011 To 12/31/2011 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: DELTA REHAB"&CARE CENTER <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: DELTA REHAB & CARE CENTER Facility ID FA0018490 <br /> 1334 S HAM LN Account ID AR0032688 <br /> LODI CA 95242 Issued 4/25/2011 <br /> Billing Address: DELTA REHAB &CARE CENTER <br /> 1334 S HAM LN <br /> LODI CA 95242 <br /> 7020.rpt <br />
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