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BILLING_2022
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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CHANNEL
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701
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4500 - Medical Waste Program
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PR0536143
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BILLING_2022
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Entry Properties
Last modified
1/6/2022 10:16:43 AM
Creation date
1/6/2022 10:10:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
BILLING
FileName_PostFix
2022
RECORD_ID
PR0536143
PE
4520
FACILITY_ID
FA0012186
FACILITY_NAME
CHANNEL MEDICAL CENTER
STREET_NUMBER
701
Direction
E
STREET_NAME
CHANNEL
STREET_TYPE
ST
City
STOCKTON
Zip
95202
APN
13929015
CURRENT_STATUS
01
SITE_LOCATION
701 E CHANNEL ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
Accounting
Supplemental fields
EmailAddr
AR0019593 ;
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0536143
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 4520 - PRIMARY CARE FACILITY <br />Permit ID # PT0022140 for Record ID # PR0536143 <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 />COMMUNITY MEDICAL CENTERS INC <br />Regulated Facility: <br />701 E CHANNEL ST <br />STOCKTON, CA 95202 <br />Facility ID <br />Account ID <br />Issued <br />FA0012186 <br />AR0019593 <br />1/6/2022 <br />CHANNEL MEDICAL CENTER <br />LOPEZ, DAVIDATTN : Billing Address: <br />CHANNEL MEDICAL CENTER <br />PO BOX 779 <br />STOCKTON, CA 95201-0779 <br />End of reportcombined.rpt
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