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MEDICAL WASTE GENERATOR <br /> FILE COVER SHEET <br /> FACILITY ID#: FA0020112 P/E: 4520 DATE: <br /> PROGRAM RECORD#: PR0536158 P/E: DATE: <br /> P/E: DATE: <br /> ADDRESS: 2388 N CALIFORNIA ST CITY: STOCKTON <br /> :FACILITY NAME (DBA): AMBULATORY SURGERY CTR OF STOCKTON <br /> CILITY PHONE: (209) 944-9100 FACILITY FAX: <br /> FACILITY CONTACT: PHONE: <br /> OWNER NAME: AMBULATORY SURGERY CTR OF ST: CITY: STOCKTON <br /> OWNER ADDRESS: 2388 N CALIFORNIA ST PHONE: <br /> Water Service: ❑ Large PWS ❑ Small PWS ❑ Domestic Well <br /> Sewer Service: ❑ Public Sewer ❑ OnSite WWTX ❑ OnSite Septic System <br /> Stormwater: ❑ Street Drains Q Street Ditches ❑ OnSite Ponds ❑ Other <br /> EH 00 18 rev 05/2007 <br /> t#: MWCS New Owner: Create a New Cover Sheet/Change Label of File <br />