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BILLING_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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EASTWOOD
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4500 - Medical Waste Program
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PR0450026
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BILLING_2022
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Entry Properties
Last modified
1/6/2022 10:39:03 AM
Creation date
1/6/2022 10:10:13 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
BILLING
FileName_PostFix
2022
RECORD_ID
PR0450026
PE
4524
FACILITY_ID
FA0001190
FACILITY_NAME
MANTECA CARE & REHABILITATION CTR
STREET_NUMBER
410
STREET_NAME
EASTWOOD
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
21632009
CURRENT_STATUS
01
SITE_LOCATION
410 EASTWOOD AVE
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved - Send Email
Scanner
Accounting
Supplemental fields
EmailAddr
AR0001188 jsparks@thekkek.com;kambler@thekkek.com
EmailSent
1/6/2022 10:16:12 AM
1/6/2022 10:16:13 AM
1/6/2022 10:16:13 AM
1/6/2022 10:21:18 AM
1/6/2022 10:26:22 AM
1/6/2022 10:31:23 AM
1/6/2022 10:36:28 AM
1/6/2022 10:39:03 AM
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0450026
Tags
EHD - Public
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1868 E.Hazelton Ave. •Stockton, CA 95205-6232 •Phone (209)468-3420 <br />Jasjit Kang, R.E.H.S., Director <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - PE 4524 - SKILLED NURSING FACILITY <br />Permit ID # PT0001191 for Record ID # PR0450026 <br />Valid From 1/1/2022 To 12/31/2022 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s) Valid only for: <br />DBA: <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />KARMA INC <br />MANTECA CARE & REHABILITATION <br />Regulated Facility: <br />410 EASTWOOD AVE <br />MANTECA, CA 95336 <br />Facility ID <br />Account ID <br />Issued <br />FA0001190 <br />AR0001188 <br />1/6/2022 <br />MANTECA CARE & REHABILITATION CTR <br />KARMA INCATTN : Billing Address: <br />MANTECA CARE & REHABILITATION CTR <br />410 EASTWOOD AVE <br />MANTECA, CA 95336-3167 <br />End of reportcombined.rpt
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