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BILLING/PERMITS_1985-2015
Environmental Health - Public
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EHD Program Facility Records by Street Name
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R
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ROSEMARIE
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1221
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4500 - Medical Waste Program
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PR0450015
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BILLING/PERMITS_1985-2015
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Last modified
6/6/2024 3:27:52 PM
Creation date
1/19/2023 1:43:14 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
BILLING/PERMITS
FileName_PostFix
1985-2015
RECORD_ID
PR0450015
PE
4524
FACILITY_ID
FA0001270
FACILITY_NAME
BROOKSIDE CARE, LLC
STREET_NUMBER
1221
STREET_NAME
ROSEMARIE
STREET_TYPE
LN
City
STOCKTON
Zip
95207
APN
11021012
CURRENT_STATUS
02
SITE_LOCATION
1221 ROSEMARIE LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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EHD - Public
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r <br /> Ste.JOAQtnN COU1rFT3lENVIRONMENTAL WALTH DEPARTMENT <br /> " 304'E.W4a Ave.. T7�>< floor o Stockton,CP&10202-27fl8 r phone(209)468-34,20 <br /> x " <br /> eras,REH.S.,Director <br /> - . Donna H <br /> E1VVTRONMENTAL HEALTH <br /> } n PERM 'TOOPJERATE 4524-SKILLED NURSING FACILITY <br /> Perrrtitl�7 ..RT "f$ 8 <br /> -forRecord ID# PR0450015 .- <br /> Y I�tfFcr�m.:'F/4 007 to,42M12006 <br /> i <br /> " <br /> n, <br /> PERMITS,TOPERATE are TOT TRANSFERABLE <br /> and maybe SUSPENDED Or REVOKED for cause. <br /> PERI IIT(s)Yaifid only for. CHATEAU CONVALESC NT.HOSPITAL <br /> DBACHATW'tONV rLE C®IST HOSPITAL <br /> THIS FORK MUST DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility., CHATEAU CQNYALESCENT'Ho.aprrAL Facility ID FA0001270 <br /> Account ID .AR0001268 <br /> ti . 22 ROS,tMAR(E LN <br /> fiTOCICTON CA :95207 Issued 12/28/2006 <br /> = ' <br /> Billing Address.-, CHfiTEAU,;CONVAtESGENTMOSPtTAL <br /> 1221 RO EMARFE LN. <br /> STf9CKT0N CA`152f77'' <br />
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