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BILLING_2021
Environmental Health - Public
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EHD Program Facility Records by Street Name
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P
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PACIFIC
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6940
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1600 - Food Program
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PR0527299
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BILLING_2021
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Entry Properties
Last modified
9/14/2021 12:25:37 PM
Creation date
9/14/2021 12:05:49 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
BILLING
FileName_PostFix
2021
RECORD_ID
PR0527299
PE
1628
FACILITY_ID
FA0011262
FACILITY_NAME
WINDSOR ELMHAVEN CARE CENTER
STREET_NUMBER
6940
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
08126030
CURRENT_STATUS
01
SITE_LOCATION
6940 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved - Send Email
Supplemental fields
EmailAddr
AR0018262 elmadmin@windsorcares.com;elmbom@windsorcares.com
EmailSent
9/14/2021 12:25:37 PM
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0527299
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 # PT0019098 for Record ID # PR0527299 <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 />WINDSOR HEALTHCARE LLP <br />WINDSOR ELMHAVEN CARE CENTER <br />Regulated Facility: <br />6940 PACIFIC AVE <br />STOCKTON, CA 95207 <br />Facility ID <br />Account ID <br />Issued <br />FA0011262 <br />AR0018262 <br />9/14/2021 <br />WINDSOR ELMHAVEN CARE CENTER <br />WINDSOR HEALTHCARE LLPATTN : Billing Address: <br />WINDSOR ELMHAVEN CARE CENTER <br />6940 PACIFIC AVE <br />STOCKTON, CA 95207 <br />End of reportcombined.rpt
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