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BILLING_2024
Environmental Health - Public
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EHD Program Facility Records by Street Name
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FRESNO
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1810
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4500 - Medical Waste Program
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PR0542441
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BILLING_2024
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Entry Properties
Last modified
1/30/2024 9:34:41 AM
Creation date
1/30/2024 9:33:00 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
BILLING
FileName_PostFix
2024
RECORD_ID
PR0542441
PE
4530
FACILITY_ID
FA0024306
FACILITY_NAME
DaVita Port City Dialysis
STREET_NUMBER
1810
Direction
S
STREET_NAME
FRESNO
STREET_TYPE
Ave
City
STOCKTON
Zip
95206
CURRENT_STATUS
01
SITE_LOCATION
1810 S FRESNO Ave
QC Status
Approved - Send Email
Scanner
Accounting
Supplemental fields
EmailAddr
AR0045239 cal_c@davita.com;
EmailSent
1/30/2024 9:34:38 AM
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0542441
Tags
EHD - Public
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SAN JOAQUIN COUNTY ENVIRONMENTAL HEALTH DEPARTMENT <br /> 1868 E.Hazelton Ave•Stockton,CA 95205-6232•Phone(209)468-3420 <br /> Jasjit Kang,R.E.H.S.,Director <br /> ENVIRONMENTAL HEALTH <br /> PERMIT TO OPERATE - PE 4530-LG QUANITY GENERATOR <br /> Permit ID# PT0025920 for Record ID# PR0542441 <br /> Valid From 1/1/2024 To 12/31/2024 <br /> PERMITS TO OPERATE are NOT TRANSFERABLE <br /> and may be SUSPENDED or REVOKED for cause. <br /> PERMIT(s)Valid only for: CORAL DIALYSIS, LLC <br /> DBA: DAVITA, INC <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: DAVITA PORT CITY DIALYSIS Facility ID FA0024306 <br /> 1810 S FRESNO AVE Account ID AR0045239 <br /> STOCKTON CA 95206 Issued 1/30/2024 <br /> Billing Address: ATTN : L& C DEPT <br /> DAVITA INC. <br /> 5200 VIRGINIA WAY <br /> BRENTWOOD TN 37027 <br /> 7027.rpt End of Report <br />
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