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MEDICAL WASTE GENERATOR <br /> FILE COVER SHEET <br /> ACILITY ID#: FA0002602 P/E: 4520 DATE: 09/17/2019 <br /> ROGRAM RECORD#: PR0450116 P/E: DATE: <br /> P/E: DATE: <br /> ADDRESS: 7373 WEST LN CITY: STOCKTON <br /> ACILITY NAME (DBA): KAISER PERMANENTE <br /> ACILITY PHONE: (209) 476-5817 FACILITY FAX: <br /> FACILITY CONTACT: TONIA SHAW, HEM PHONE: (209) 825-3885 <br /> NER NAME: KAISER PERMANENTE CITY: STOCKTON <br /> OWNER ADDRESS: 7373 WEST LN PHONE: (209) 476-5152 <br /> Water Service: Large PWS [01 Small PWS [� Domestic Well <br /> Sewer Service: Public Sewer [� OnSite WWTX Onsite Septic System <br /> Stormwater: [� Street Drains [� Street Ditches [� OnSite Ponds [ft Other <br /> New Owner: Create a New Cover Sheet/Change Label of File <br />