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COMPLIANCE INFO
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EHD Program Facility Records by Street Name
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1156
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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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:ent by: GAMBRO 9498315035; 06/11 /2005 4:36AM; #686; Page 10/24 <br /> PAGE NO: 2 of 2 <br /> CUSTOMER NO: 6018100 <br /> ster INVOICE NO: 0002820133 <br /> E,perte in Infection Control and 11aalthtare Compliance Services <br /> DATE: 05/31/2004 <br /> 3d1zYH ta57 C7 1PT VJf�lgP4T jL f tG -UftTp RL <br /> {SATE til's <br /> SITE-SUSTOTAL-AMT: $saC3.1z <br /> SITE-TOTAL-TAX: So_Oa <br /> SITE-TOTAL-AMT: $806.12 <br /> INVOICE TOTAL: $806.12 <br /> ' 64r0e1 S�4il9P.A7W-b�tloW4 f OOOOp9P4 <wnrw <br />
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