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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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BENJAMIN HOLT
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555
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4500 - Medical Waste Program
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PR0519180
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COMPLIANCE INFO
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Entry Properties
Last modified
2/9/2023 4:03:29 PM
Creation date
7/3/2020 10:20:59 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0519180
PE
4530
FACILITY_ID
FA0010525
FACILITY_NAME
DELTA SIERRA DIALYSIS CNTR
STREET_NUMBER
555
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95207
APN
08126029
CURRENT_STATUS
02
SITE_LOCATION
555 W BENJAMIN HOLT DR STE 200
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4530_PR0519180_555 W BENJAMIN HOLT_.tif
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EHD - Public
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�Vt <br /> ( Shawn Awan <br /> V ari ta® Facility Administrator <br /> Kidney Care Delta Sierra Dialysis Center 00417 <br /> 555 W.Benjamin Holt Dr.STE 200 <br /> Stockton,CA 95207-3839 <br /> Tel:+1(209)473-2294 <br /> Cell:+1(209)329-3071 <br /> Fax:+1(209)473-2214 <br /> shawn.awan@davita.com <br /> DaVita.com <br />
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