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Environmental Health - Public
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EHD Program Facility Records by Street Name
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FAIRMONT
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4500 - Medical Waste Program
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PR0450003
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Last modified
1/4/2023 1:51:17 PM
Creation date
12/14/2022 8:41:47 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
BILLING/PERMITS
RECORD_ID
PR0450003
PE
4522
FACILITY_ID
FA0000513
FACILITY_NAME
LODI MEMORIAL HOSPITAL
STREET_NUMBER
975
Direction
S
STREET_NAME
FAIRMONT
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
03107039
CURRENT_STATUS
01
SITE_LOCATION
975 S FAIRMONT AVE
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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EHD - Public
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EVIRONMENTAL HEALT4 <br />ISSUED' EXPIRES, PERMIT N0. <br />30887 <br />August 129 1985 June 30v 1986 <br />FL,�� 3D�4t� SAN JOAQUIN LOCAL HEALTH DISTRICT <br />ODIM9IWECTIO7MEDICALssued � � � 1601 E. HAZELTON AVE. • PHONE 466-6781 <br />Pe it �' tP.O. BOX 2009+ STOCKTON,'CA 95201 <br />LODI MEMORIAL HOSPITAL <br />975 S 'FAIRMONT AVE: <br />LD, 'CA 950 <br />OBI KH NNArM.D., M.P.H. <br />District Health Officer <br />LDT i�Ci�AL HOSPITAL <br />P. 0. BOX 110 <br />LC2 P CA 9541 �o �— �.�. <br />�`` <br />C. Leland Hall, Director <br />Environmental Health Division <br />THIS PERMIT MAY BE SUSPENDED OR REVOKED FOR CAUSE POSTON PREMISE <br />
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