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COMPLIANCE INFO
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EHD Program Facility Records by Street Name
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BUTHMANN
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4500 - Medical Waste Program
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PR0536174
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COMPLIANCE INFO
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Last modified
8/4/2020 10:54:43 AM
Creation date
7/3/2020 10:19:56 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0536174
PE
4524
FACILITY_ID
FA0018493
FACILITY_NAME
New Hope Post Acute Care
STREET_NUMBER
2586
STREET_NAME
BUTHMANN
STREET_TYPE
Ave
City
Tracy
Zip
95376
APN
214-490-130-000
CURRENT_STATUS
02
SITE_LOCATION
2586 Buthmann Ave
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
CField
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4524_PR0536174_2586 BUTHMANN_.tif
Tags
EHD - Public
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s y <br /> ySAN JOAQU UNTY ENVERONMENTAL HEALT PARR MENT <br /> 1:868 E. Hazelton Ave. • Stockton, CA 95205-6232 • Phone(209)468-3420 . . <br /> 4< <br /> Donna Heran,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4524- SKILLED NURSING FACILITY <br /> Permit 1D# PT0022169 for Record ID# PR0536174 <br /> Valid From 1/1/2015 To 12/31/2015 <br /> { <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: California Aviv LLC <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: New Hope Post Acute Care Facility iD FA0018493 <br /> 2586 Buthmann Ave Account ID AR0032691 <br /> issued 11/21/2014 <br /> Tracv CA 95376 <br /> Billing Address: NEW HOPE POST ACUTE CARE <br /> 2586 BUTHMANN AVE <br /> Tracy Ca 95376 <br />
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