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BILLING_2021
Environmental Health - Public
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EHD Program Facility Records by Street Name
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WAGNER HEIGHTS
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3110
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1600 - Food Program
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PR0527305
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BILLING_2021
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Entry Properties
Last modified
6/23/2021 9:09:24 AM
Creation date
6/23/2021 9:02:36 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2021
RECORD_ID
PR0527305
PE
1628
FACILITY_ID
FA0010809
FACILITY_NAME
MEADOWOOD A HEALTH & REHAB CTR
STREET_NUMBER
3110
STREET_NAME
WAGNER HEIGHTS
STREET_TYPE
RD
City
STOCKTON
Zip
95209
APN
08039012
CURRENT_STATUS
01
SITE_LOCATION
3110 WAGNER HEIGHTS RD
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved - Send Email
Scanner
Accounting
Supplemental fields
EmailAddr
AR0017809 michelle.smith@oconnorwoods.org;marilyn.shepherd@oconnorwoods.org
EmailSent
6/23/2021 9:09:24 AM
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0527305
Tags
EHD - Public
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1868 E.Hazelton Ave. •Stockton, CA 95205-6232 •Phone (209)468-3420 <br />Jasjit Kang, R.E.H.S., Director <br />SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br />ENVIRONMENTAL HEALTH <br />PERMIT TO OPERATE - PE 1628 - LICENSED HEALTH CARE FACILITY <br />Permit ID # PT0019104 for Record ID # PR0527305 <br />Valid From 8/1/2021 To 7/31/2022 <br />PERMITS TO OPERATE are NOT TRANSFERABLE <br />and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s) Valid only for: <br />DBA: <br />THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br />OCONNOR WOODS HOUSING CORP <br />Regulated Facility: <br />3110 WAGNER HEIGHTS RD <br />STOCKTON, CA 95209 <br />Facility ID <br />Account ID <br />Issued <br />FA0010809 <br />AR0017809 <br />6/23/2021 <br />MEADOWOOD A HEALTH & REHAB CTR <br />OTTE, CATHY (ADMINISTRATOR)ATTN : Billing Address: <br />MEADOWOOD A HEALTH & REHAB CTR <br />3110 WAGNER HEIGHTS RD <br />STOCKTON, CA 95209 <br />End of reportcombined.rpt
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