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COMPLIANCE INFO_1975-2015
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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PR0450024
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COMPLIANCE INFO_1975-2015
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Last modified
2/5/2025 2:48:59 PM
Creation date
7/3/2020 10:18:45 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
1975-2015
RECORD_ID
PR0450024
PE
4524
FACILITY_ID
FA0002493
FACILITY_NAME
GOLDEN LIVING CENTER HY-PANA
STREET_NUMBER
4545
STREET_NAME
SHELLEY
STREET_TYPE
CT
City
STOCKTON
Zip
95207
APN
10425005
CURRENT_STATUS
01
SITE_LOCATION
4545 SHELLEY CT
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4524_PR0450024_4545 SHELLEY_.tif
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EHD - Public
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.viz.r c, '`iy a T t ' <br />PEI <br />{ <br />�"40OF <br />ti <br />tt <br />x fry a� <br />February 27, 197$ <br />x <br />s1' _ y <br />'411,wr+y .$ <br />State Department of Health <br />Facilities Licensin6 Section'f <br />2422 Arden Way, Bldg., B Ste 35 <br />Sacramento, CA . 95825 ak <br />� yy � 5� �4 �` +pyo}- � °b}¢ � � x k •� a <br />1y i <br />i.' <br />y�: r {L4.... `"`"' E •<,s _ kyr '�- a a <br />S <br />In accordance with Section 314, Title 17, and Section 72643,,; <br />Title 22, California Administrative Code, I have approved <br />the procedure for disposal of infectious waste as submitted <br />by Hy -Pana House Convalescent Hospital. <br />_'.' <br />Very trulyyours��°� <br />Asn <br />JACK J. WILLIAMS, <br />$, <br />� <br />Y District Health Officer u� <br />i�f <br />""l"1 <br />k..«U <br />By <br />4 <br />� <br />« <br />S. 0. Smelsey, 14.D. <br />I'MT <br />rn. <br />g <br />x Assistant Health Officer <br />4 { <br />SOS : ch <br />CC: Hy -Pana <br />House <br />Convalescent Hospita��`k; <br />{ <br />yy <br />Xi <br />ia! } <br />S L <br />114 <br />r <br />� <br />4 <br />� <br />rn. <br />g <br />+7 <br />{ <br />ia! } <br />S L <br />Fye <br />z <br />i k <br />yg t <br />3 <br />
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