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COMPLIANCE INFO
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EHD Program Facility Records by Street Name
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4500 - Medical Waste Program
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PR0522691
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COMPLIANCE INFO
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Entry Properties
Last modified
2/23/2023 10:14:33 AM
Creation date
7/3/2020 10:21:07 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0522691
PE
4530
FACILITY_ID
FA0013665
FACILITY_NAME
DAVITA MANTECA DIALYSIS CENTER
STREET_NUMBER
1156
Direction
S
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
222-380-080-300
CURRENT_STATUS
02
SITE_LOCATION
1156 S MAIN ST
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4530_PR0522691_1156 S MAIN_.tif
Tags
EHD - Public
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t _ <br /> ; T QAQL (-COUNTY ENVIRONMENTAL HFALTH.DEPARTMENT <br /> Q4 L.W&a Ave:,TWrd Floor e,Stockton,CA'9$2Phone(209)468-3420 <br /> Donna Heran,RF- <br /> H.S.,Directot <br /> ENVIRONMENTAL, E '' T`. <br /> ' T IT'.TO OPERATE 4530=LG Q'�T�T3r' t" <br /> r . <br /> Pedmitla# PT0015339 for RecdFd.ib;#PRO <br /> Valid From 1/1/2006 To 12/3112006 <br /> e <br /> b. <br /> Y <br /> : <br /> PEh TO OPERATE are NOT Itt�NSF"L1tA$LB .. <br /> slid*1y be SUSPENDED or REYPKED for cause. <br /> stx ' <br /> P MOT:(s)Val" o►ily�ft>r: DAVITA INC/DVA RENAL.l#EAtLTH t <br /> DBA: GAMBRO HEALTHCARE-MAbT# 1 <br /> THIS FORM MUST BE DISPLAYED,CONSPJ tVtV rtISLY ON THE PREMISES <br /> Facility Ip FA0013665 <br /> R"u bd'Fadty: CsAMBROHEALTHCARE-MANTECA, <br /> 1156 S MAIN ST Account"ID AR0022822 <br /> MANTEGA; OA,9533& Issues 12/1/2005 <br /> Bt 4 :• ATTN : BRIAN SIDC^ CiR <br /> GAMBRO MEALTHCARe, IIANTI;:C�?i <br /> 15253 BAKE RKWY <br /> IRVINE CA 92618-X502,. <br /> 702o:rpt. <br />
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