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EHD Program Facility Records by Street Name
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4500 - Medical Waste Program
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PR0518328
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Last modified
12/23/2022 8:15:23 AM
Creation date
11/29/2022 12:15:02 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
BILLING/PERMITS
RECORD_ID
PR0518328
PE
4520
FACILITY_ID
FA0013836
FACILITY_NAME
KAISER PERMANENTE
STREET_NUMBER
1721
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95337
APN
20014028
CURRENT_STATUS
01
SITE_LOCATION
1721 W YOSEMITE AVE
QC Status
Pending
Scanner
SJGOV\cfield
Tags
EHD - Public
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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.Weber Ave.,Third Floor•Swckwn,CA 95202-2708•Phone(209)468-3420 <br /> Donna Herrn,RE.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4520-PRIMARY CARE FACILITY <br /> Permit ID#PT0011966 for Record ID#PR0518328 <br /> Valid From 1/1/2002 To 12/31/2002 <br /> D U P L I C A T E <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: KAISER PERMANENTS <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: KAISER PERMANENTS Facility iD FA0013836 <br /> 1721 W YOSEMITE AVE Account ID AR0023286 <br /> MANTECA. CA 95337 issued 7/10/2002 <br /> Billing Address: KAISER PERMANENTS <br /> 7373 WEST LANE <br /> STOCKTON, CA 95210 <br /> 7020.rpt <br />
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