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BILLING_2023
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_2023
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Entry Properties
Last modified
12/23/2022 12:44:37 PM
Creation date
12/23/2022 12:01:12 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
BILLING
FileName_PostFix
2023
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
12/23/2022 12:44:34 PM
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0450026
Tags
EHD - Public
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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E.Hazelton Ave•Stockton,CA 95205-6232•Phone(209)468-3420 <br /> Jasjit Kang,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - PE 4524- SKILLED NURSING FACILITY <br /> Permit ID # PT0001191 for Record ID# PR0450026 <br /> Valid From 1/1/2023 To 12/31/2023 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: KARMA INC <br /> DBA: MANTECA CARE & REHABILITATION <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: MANTECA CARE & REHABILITATION CTR Facility ID FA0001190 <br /> 410 EASTWOOD AVE Account ID AR0001188 <br /> MANTECA CA 95336 Issued 12/23/2022 <br /> Billing Address: ATTN : KARMA INC <br /> MANTECA CARE & REHABILITATION CTR <br /> 410 EASTWOOD AVE <br /> MANTECA CA 95336-3167 <br /> 7027.rpt End of Report <br />
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