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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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13-11-12 11:32 <br />D TP A.NsmON,A,L CARE AND <br />REEIAB- <br />VALLEY GARDENS <br />1517 L i[2aCi<ERBOC][IR DP.. <br />STOCKTON CA., 95210 <br />PE[ONE (209) 957.4539 <br />FAX (209)957-5831 <br />TO;9 ern sc b'�ro <br />COMPANY: <br />Sod.h3CDA t u e I o w►-�-y - <br />FAX NUMBER; <br />;Z.09 -'4 (A'a 39 <br />PHONE NUMBER: <br />AC)g - q(A-3i `ZS <br />RE; mein \kjasj. P. <br />o URGERNT' <br />p< FOR REVIEW <br />o PLEA5E COMMENT <br />o PLEASE REPLY <br />o PLEASE RECYCLE <br />NOTES/COMMENT5: <br />DATE: vt 11-2 it 3 <br />TOTAL NO. OF PACES INCLUDING COVER: <br />SENDER'S REFERENCE NUMBER: <br />YOUR REFERENCE NUMBER: <br />This fax is intended only for the use if the individual oz entity to whim it is addresses, and may contain. <br />informatian that is privileged, confidential, and protected from u authorized disclosure. tYse of this <br />information for other thm the intended purpose is strictly prohibited, You are prohibited from makiag.any <br />fizrtlier discloser of this information and are required to destroy the information after its stated need has <br />been, fulfilled, If you have received tbis communication in error, please wffy us immediately at the <br />telephone number listed above and obtain instraetions for disposal or the documeats. 'Thank you £or your <br />cooperation. <br />i� <br />Received Time Nov,12, 2013 11:44AM No,0885 <br />
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