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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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GRANT LINE
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2185
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4500 - Medical Waste Program
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PR0524322
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Last modified
12/22/2022 12:45:54 PM
Creation date
11/29/2022 2:35:04 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
BILLING/PERMITS
RECORD_ID
PR0524322
PE
4520
FACILITY_ID
FA0016313
FACILITY_NAME
KAISER PERMANENTE
STREET_NUMBER
2185
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95377
APN
21402029
CURRENT_STATUS
01
SITE_LOCATION
2185 W GRANT LINE RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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SJGOV\cfield
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EHD - Public
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• <br />C <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />304 E. Weber Ave., Third Floor • Stockton, CA 95202-2708 • Phone (209) 468-3420 <br />Donna Heran, RE.H.S., Director <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - 4520 - PRIMARY CARE FACILITY <br />Permit ID # PT0016588 for Record ID # PR0524322 <br />Valid From 1/1/2005 To 12/31/2005 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may SUSPENDED or REVOKED for cause. <br />PERMIT(s) Valid only for: KAISER PERMANENTE <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility: KAISER PERMANENTE Facility iD FA0016313 <br />2185 W GRANT LINE RD Account ID AR0028558 <br />TRACY CA 95377 issued 7/15/2005 <br />Billing Address: KAISER PERMANENTE <br />2185 W GRANT LINE RD <br />TRACY CA 95377 <br />7o2o.rpt <br />
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