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MEDICAL WASTE GENERATOR <br /> FILE COVER SHEET <br /> FACILITY ID#: FA0000519 P/E: 4522 DATE: 01/07/2009 <br /> PROGRAM RECORD#: PR0450002 PSE: DATE: <br /> P/E: DATE: <br /> ADDRESS: 800 S LOWER SACRAMENTO RD CITY: LODI <br /> FACILITY NAME (DSA): LODI MEMORIAL HOSPITAL WEST <br /> CILITY PHONE: (209) 334-3411 FACILITY FAX: <br /> FACILITY CONTACT: PHONE: <br /> NER NAME: LODI MEMORIAL HOSPITAL CITY: LODI <br /> OWNER ADDRESS: 975 S FAIRMONT PHONE: <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 of File <br />