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MEDICAL WASTE GENERATOR <br /> FILE COVER SHEET <br /> FACILITY ID#: FA0016313 P/E: 4520 DATE: 06/13/2007 <br /> PROGRAM RECORD#: PR0524322 P/E: DATE: <br /> P/E: DATE: <br /> ADDRESS: 2185 W GRANT LINE RD CITY/ST: TRACY,CA 95377 <br /> FACILITY NAME (DBA): KAISER PERMANENT <br /> FACILITY PHONE: (209) 476-5621 FACILITY FAX: <br /> FACILITY CONTACT: AMY TRONOLONE PHONE:(209)735-6383 <br /> OWNER NAME: KAISER PERMANENTE CITY: TRACY,CA 95377 <br /> OWNER ADDRESS: 2185 W GRANT LINE RD PHONE: ((209) 825-3773 <br /> Water Service: Large PWS Small PWS Domestic Well <br /> Sewer Service: �] Public Sewer OnSite WWTX OnSite Septic System <br /> Stormwater: ] Street Drains Street Ditches OnSite Ponds �] Other <br /> EH 00 18 rev 05/2007 <br /> rpt#: MWCS New Owner: Create a New Cover Sheet/Change Label offile ile <br />