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BILLING/PERMITS_1985-2015
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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LOWER SACRAMENTO
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4500 - Medical Waste Program
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PR0450002
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BILLING/PERMITS_1985-2015
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Entry Properties
Last modified
6/21/2024 1:20:20 PM
Creation date
1/12/2023 8:30:25 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
BILLING/PERMITS
FileName_PostFix
1985-2015
RECORD_ID
PR0450002
PE
4522
FACILITY_ID
FA0000519
FACILITY_NAME
ADVENTIST HEALTH LODI MEMORIAL WEST
STREET_NUMBER
800
Direction
S
STREET_NAME
LOWER SACRAMENTO
STREET_TYPE
RD
City
LODI
Zip
95240
APN
02729010
CURRENT_STATUS
01
SITE_LOCATION
800 S LOWER SACRAMENTO RD
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\cfield
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EHD - Public
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0 0 <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 - 4522 - ACUTE CARE FACILITY <br />Permit ID # PT0000525 for Record ID # PRO450002 <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. LODI MEMORIAL HOSPITAL <br />DBA LODI MEMORIAL HOSPITAL -WEST <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />Regulated Facility. LODI MEMORIAL HOSPITAL WEST <br />800 S LOWER SACRAMENTO RD <br />LODI. CA 94240 <br />Billing Address: LODI MEMORIAL HOSPITAL WEST <br />975 S FAIRMONT AVE <br />LODI, CA 95240 <br />7020.rpt <br />Facility ID FA0000519 <br />Account ID AR0000518 <br />Issued 12/5/2003 <br />
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