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COMPLIANCE INFO_1993-2006
Environmental Health - Public
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EHD Program Facility Records by Street Name
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4500 - Medical Waste Program
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PR0450003
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COMPLIANCE INFO_1993-2006
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Last modified
1/4/2023 2:01:04 PM
Creation date
7/3/2020 10:17:08 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
1993-2006
RECORD_ID
PR0450003
PE
4522
FACILITY_ID
FA0000513
FACILITY_NAME
LODI MEMORIAL HOSPITAL
STREET_NUMBER
975
Direction
S
STREET_NAME
FAIRMONT
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
03107039
CURRENT_STATUS
01
SITE_LOCATION
975 S FAIRMONT AVE
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4522_PR0450003_975 S FAIRMONT_1993-2006.tif
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EHD - Public
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RETURN C-OMPLETK)N <br />DATE START TIME TO USER TIME MILES <br />OTHER EXPENSES TOTAL MILES <br />AIR HOTEL MEALS TRANSPORTATION MISC. TOTAL <br />AMOUNT <br />;EMARKS <br />< <br />'r?l FFJ7/ 7-C <br />L <br />CUSTOMER SIGNATURyi TLTI-E DATE SIEPIS ENGINEER SIGNATURE <br />THIS IS NOT AN INVOICE AUTHORIZING <br />SIGNATURE INDICATES THE SERVICES <br />Y <br />xi LISTED ABOVE WERE PERFORMED. <br />x "-!� I x �!) , ., e I <br />M ls- "- z• Wil Pam - <br />SERVICE TO: <br />L6D I <br />t -k e tz <br />,ADDRESS <br />CARD HOLDER NAME: PHONE NUMBER: <br />T <br />lftf�� <br />PHONE <br />SERIAL NUMBER <br />i� <br />I EOUIPLIENT ID I' <br />O <br />DATE� CDES, PAS <br />PARTS <br />DESCRIPTION LABORI UNIT EA <br />mCODE <br />, <br />P <br />COMPLETED -,== NUMRTBER S <br />PRICE <br />RETURN C-OMPLETK)N <br />DATE START TIME TO USER TIME MILES <br />OTHER EXPENSES TOTAL MILES <br />AIR HOTEL MEALS TRANSPORTATION MISC. TOTAL <br />AMOUNT <br />;EMARKS <br />< <br />'r?l FFJ7/ 7-C <br />L <br />CUSTOMER SIGNATURyi TLTI-E DATE SIEPIS ENGINEER SIGNATURE <br />THIS IS NOT AN INVOICE AUTHORIZING <br />SIGNATURE INDICATES THE SERVICES <br />Y <br />xi LISTED ABOVE WERE PERFORMED. <br />x "-!� I x �!) , ., e I <br />
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