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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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BEVERLY
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545
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4500 - Medical Waste Program
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PR0536282
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COMPLIANCE INFO
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Entry Properties
Last modified
2/23/2023 1:34:41 PM
Creation date
7/3/2020 10:20:16 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0536282
PE
4524
FACILITY_ID
FA0018494
FACILITY_NAME
TRACY NURSING & REHABILITATION CENTER
STREET_NUMBER
545
Direction
W
STREET_NAME
BEVERLY
STREET_TYPE
PL
City
TRACY
Zip
95376
APN
23307227
CURRENT_STATUS
02
SITE_LOCATION
545 W BEVERLY PL
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4524_PR0536282_545 W BEVERLY_.tif
Tags
EHD - Public
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5 Y '!^'✓k i $A L T� T y�;F N. * , <br /> ;a" ..., ...., .'.. Pq <br /> SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT` s �s <br /> 1 y� <br /> y ' 600 E.Main St. o Stockton,CA 95202-3029 • Phone(209)468-3420 <br /> t <br /> fi Donna Heran,R.E.H.S.,Director ` '; q <br /> s �. <br /> 3 ENVIRONMENTAL HEALTHPq ' <br /> PERMIT TO OPERATE - 4524 SKILLED NURSING FACILITY71TX Y { <br /> Permit ID#PT0022232 for Record ID #PR0536282 <br /> Valid From 1/1/2011 To 12/31/2011 <br /> a a f CHs . <br /> s '9r <br /> S J S (4y <br /> {S 2"' Y1yhr� <br /> V# <br /> fy <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: TRACY CONVALESCENT AND REHAB <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: TRACY CONVALESCENT AND REHAB Facility ID FA0018494 <br /> 545 W BEVERLY PL Account ID AR0032692 <br /> TRACY, CA 95376 Issued 7/13/2011 <br /> Billing Address: <br /> TRACY CONVALESCENT AND REHAB <br /> 545 W BEVERLY PL <br /> TRACY, CA 95376 <br /> 7o21.rpt <br />
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