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MEDICAL WASTE GENERATOR <br /> FILE COVER SHEET <br /> FACILITY ID#: FA0000388 P/E: 4520 DATE: 10/9/1988 <br /> PiOGRAM RECORD#: PR0450055 P/E: DATE: <br /> P/E: DATE: <br /> ADDRESS: 521 S HAM LN F CITY: LODI <br /> FACILITY NAME (DBA): LODI OUTPATIENT SURGICAL CENTE <br /> FACILITY PHONE: (209) 333-0905 FACILITY FAX: <br /> FACILITY CONTACT: MARKLIN BROWN,ADMINISTRATOR PHONE: <br /> OWNER NAME: ARTEL LLC CITY: LODI <br /> OWNER ADDRESS: 521 S HAM LN PHONE: 0091333-0909 <br /> Water Service: ] Large PWS ] Small PWS �] Domestic Well <br /> Sewer Service: Public Sewer OnSite WWTX Onsite Septic System <br /> Stormwater: Street Drains T1 Street Ditches OnSite Ponds Other <br /> ti <br /> LAN 00 18 rev 05/2007 <br /> rpt 0: MWCS New Owner: Create a New Cover Sheet/ChAnge Label of File <br />