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BILLING_2024
Environmental Health - Public
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EHD Program Facility Records by Street Name
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Y
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YOSEMITE
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1721
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4500 - Medical Waste Program
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PR0518328
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BILLING_2024
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Entry Properties
Last modified
2/15/2024 1:43:58 PM
Creation date
2/15/2024 1:26:03 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
BILLING
FileName_PostFix
2024
RECORD_ID
PR0518328
PE
4520
FACILITY_ID
FA0013836
FACILITY_NAME
KAISER PERMANENTE
STREET_NUMBER
1721
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95337
APN
20014028
CURRENT_STATUS
01
SITE_LOCATION
1721 W YOSEMITE AVE
QC Status
Approved
Scanner
Accounting
Supplemental fields
EmailAddr
AR0023286 ;
FilePath
D:\CAPTURE\EHD\Batch\Operating Permits
ParentPath
Operating Permits
PermitRecordID
PR0518328
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 4520-PRIMARY CARE FACILITY <br /> Permit ID # PT0011966 for Record ID# PR0518328 <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: THE PERMANENTE MEDICAL GROUP <br /> THIS FORM MUST BE DISPLAYED CONSPICUOUSLY ON THE PREMISES <br /> Regulated Facility: KAISER PERMANENTE Facility ID FA0013836 <br /> 1721 W YOSEMITE AVE Account ID AR0023286 <br /> MANTECA CA 95337 Issued 2/15/2024 <br /> Billing Address: ATTN : EVS <br /> KAISER PERMANENTE <br /> 1777 W YOSEMITE AVE <br /> MANTECA CA 95337 <br /> 7027.rpt End of Report <br />
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