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EHD Program Facility Records by Street Name
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4500 - Medical Waste Program
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PR0522690
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Last modified
1/10/2023 8:45:57 AM
Creation date
1/10/2023 8:36:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
BILLING/PERMITS
RECORD_ID
PR0522690
PE
4530
FACILITY_ID
FA0010846
FACILITY_NAME
DAVITA TRACY DIALYSIS
STREET_NUMBER
425
Direction
W
STREET_NAME
BEVERLY
STREET_TYPE
PL
City
TRACY
Zip
95376
APN
23307526
CURRENT_STATUS
01
SITE_LOCATION
425 W BEVERLY PL STE A
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\cfield
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EHD - Public
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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 304 E.Weber Ave.,'third Floor•Stockton,CA 95202-2708• Phone(209)468-3420 <br /> Donna Heran, R.E.H.S., Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - 4530-LG QUANITY GENERATOR <br /> Permit ID#PT0015338 for Record ID#PR0522690 <br /> Valid From 1/1/2004 To 12/31/2004 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: GAMBRO HEALTHCARE <br /> DBA: GAMBRO HEALTHCARE (TRACY) <br /> THIS FORM MUST BE DISPLAYEI)CONSPICUOUSLY ON"THE PREMISES <br /> Regulated Facility: GAMBRO HEALTHCARE Facility ID FA0010846 <br /> 425 BEVERLY PL#A Account ID AR0017846 <br /> TRACY CA 95376 issued 9/8/2004 <br /> Billing Address: ATTN : CARMEN GASTELLO <br /> GAMBRO HEALTHCARE <br /> 425 BEVERLY PL STE#A <br /> TRACY CA 95376 <br /> 7020.rpt <br />
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