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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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TRINITY
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10100
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4500 - Medical Waste Program
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PR0506328
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COMPLIANCE INFO
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Last modified
2/23/2023 1:57:57 PM
Creation date
7/3/2020 10:22:30 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0506328
PE
4557
FACILITY_ID
FA0007349
FACILITY_NAME
GENTIVA HEALTH SERVICES
STREET_NUMBER
10100
STREET_NAME
TRINITY
STREET_TYPE
PKWY
City
STOCKTON
Zip
952197241
APN
06602027
CURRENT_STATUS
02
SITE_LOCATION
10100 TRINITY PKWY STE 450
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4557_PR0506328_10100 TRINITY_.tif
Tags
EHD - Public
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t®VWHEALTH SERVICES <br /> Vendor # Vendo,'r Name Reference Check Date Check # <br /> ------- -------------------------- ------------------- ---------- ------- <br /> 147620 SAN JOAQUIN COUNTY PUBLIC 02/17/00 2065286 <br /> Memo Info. Voucher No. Invoice No. Invoice Date Invoice Amount Discount Taken Amount Paid <br /> ------------------------ -------- ------------------- ------- -- <br /> —- -------------- ------- <br /> 588 05490167 021100 02/11/00 67.00 67.00 <br /> ---------- -------------- -------------- <br /> 67.00 67.00 <br /> Olsten Health Services 1999 HOT5535(11/99) <br /> APGEN 2000 <br /> nol <br /> ® ""' The Chase'Manhattan Bank <br /> low!"100t <br /> HEALTH SERVICES' Syracuse, New. York 20652$6 <br /> 12900 Foster 18-3 <br /> Overland Park, KS 66213 10 0 Check Date Check Number' <br /> PEIy SIXTY SEVEN ANO OOI100 <br /> Check:Amount <br /> 67 .00 <br /> To FSN JOAQUIN COUNTY PUBLIC <br /> HEALTH SERVICES By <br /> Orderbf <br /> 304 EAST WEBER AVENUE By <br /> 3RD FLOOR or <br /> OCKTON GA 95202 f <br /> .. IF 11: <br /> _ J <br /> Ii' 206 S 286 (• 1:0 2 L 309 3 79': C30 L®et8,'t L6 S 3 L((• <br />
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