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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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HAM
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521
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4500 - Medical Waste Program
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PR0450055
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COMPLIANCE INFO
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Entry Properties
Last modified
2/9/2023 12:05:38 PM
Creation date
7/3/2020 10:16:29 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0450055
PE
4520
FACILITY_ID
FA0000388
FACILITY_NAME
Lodi Outpatient Surgical Center
STREET_NUMBER
521
Direction
S
STREET_NAME
HAM
STREET_TYPE
LN
City
LODI
Zip
95242
CURRENT_STATUS
02
SITE_LOCATION
521 S HAM LN STE F
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4520_PR0450055_521 S HAM_.tif
Tags
EHD - Public
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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 />
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