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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
Tags
EHD - Public
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Susan Martins <br /> Facility Administrator <br /> Da 1 ta. <br /> Port City Dialysis#05298 www.davita.com <br /> 1810 South FresnoAve. <br /> Stockton,CA 95206 <br /> Tel:209-946-0738 <br /> Fax:209-946-0827 <br /> Emad:Susan.Martins@davita.com <br />
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