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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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E 0 <br />14-05-09 12:56 <br />RM,qDRF,D TRANSMONAL CARE AND PY-HAB- <br />VALLEY GARDENS <br />1517 F ]KNICKERBOCKER DR- <br />STOCKTON CA, 95210 <br />PHONE (209) 957-4639 <br />FAX (209)957-5831 <br />TO: <br />COMPANY;—kc —rV <br />5a,n <br />FAX NUMB,, <br />q 3 <br />PHONE NUMBER: <br />,I � a � Of" <br />FOR REVIEW <br />""'o--PLEXSE-COMMENT COMMENT.. .... ......... <br />0 PLEASE REPLY <br />o PLEASE RECYCLE <br />NOTES/COMMENTS: <br />2094688392 P 1/8 <br />FROM: <br />DATE �<NV)60-era-k ' '. pei( <br />TOTAL NO. OF PATES INCLUDING COVER: <br />SENDER'S REFERENCE NUMBER' <br />YOUR REFERENCE NUMBER: <br />This fax is i,:,t=&d only for the use if the individual Or entity to whim it is addresscs, and may contaila <br />information that is privileged, coDAdmdaL and protected from unw5orized disclosure. Use of ibis <br />information for other than the intended Purpose is strictlyyprohibitad- You are prohibited from EPPIdng-an-Y <br />b=tI= discloser of this information. and are required to &strOY the information aftm its sto-tDd need has <br />been ft7lflod. If you have received this communication in error, -Please nOffT us immediately at the <br />telephone number listod above and obtain instructions for disposal or the documents. Thank you for Your <br />cooperation. <br />Received Time May. 9. 2014 1 :01PM No. 1014 <br />
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