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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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KNICKERBOCKER
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1517
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4500 - Medical Waste Program
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PR0536182
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COMPLIANCE INFO
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Entry Properties
Last modified
7/15/2025 3:48:44 PM
Creation date
7/3/2020 10:19:58 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0536182
PE
4524 - SKILLED NURSING FACILITY
FACILITY_ID
FA0009746
FACILITY_NAME
Kindred Transitional Care and Rehabilitation Valley Gardens
STREET_NUMBER
1517
STREET_NAME
KNICKERBOCKER
STREET_TYPE
DR
City
STOCKTON
Zip
95210
APN
09056004
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4524_PR0536182_1517 KNICKERBOCKER_.tif
Site Address
1517 KNICKERBOCKER DR STOCKTON 95210
Tags
EHD - Public
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8120'°N W :Z l[06 'til'SIV IWIJ pania3;� <br />KNDRRD TRANSTTiONA]L CARE A.1ND RE - <br />VALLEY GARDENS - <br />1517 E RNICKERBOCSYM DR. <br />STOCKTON CA, 95210 <br />PHONE (209) 957-4539 <br />FAX (209)957-5831 <br />TO: <br />�i S <br />FROM: <br />Qe ee. ta,rtiQ 0) 50 <br />COMPANY: PDATE: <br />6 cn moa t t1 C.o ul, <br />.3 1 <br />FAX NUM ER: <br />D ry(v$ 397 <br />TOTAL NO. OF PAGE INCLUDING COVER: <br />PHONE NUMBER: <br />SENDER'S REFERENCE NUMBER: <br />RE; <br />YOUR REFERENCE NUMBER: <br />_ <br />o URGERNT mn 5rv�on <br />FOR REVIEW <br />o PLEASE COMMENT <br />o PLEASE REPLY <br />: <br />o PLEASE RECYCLE <br />NOTE5/COMMENT5: <br />S ®Y <br />v t 5 k ® -rV'\Oks <br />This fax is intended only for the use if the individual or entity to white it is addresses, and may contain <br />information that is privileged, cozf.dcntial, and protected from unauthorized disclosure. Use of this <br />information for other than the intended purpose is strictly prohibited. You. ate prohibited from making any <br />further discloser of this information and are required to destroy the information after its stated peed has <br />been fulfilled. If you. have received this communication iu error, please notify us immediately at the <br />telephone number listed above and obtain i.astructions for disposal or the documents. Thank you for your <br />cooperation. <br />0 L/ L d 26£88M0Z 44 <br />6h:hl 71-80-21 <br />
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