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COMPLIANCE INFO_1975-2015
EnvironmentalHealth
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4500 - Medical Waste Program
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PR0450024
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COMPLIANCE INFO_1975-2015
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Entry Properties
Last modified
2/5/2025 2:48:59 PM
Creation date
7/3/2020 10:18:45 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
1975-2015
RECORD_ID
PR0450024
PE
4524
FACILITY_ID
FA0002493
FACILITY_NAME
GOLDEN LIVING CENTER HY-PANA
STREET_NUMBER
4545
STREET_NAME
SHELLEY
STREET_TYPE
CT
City
STOCKTON
Zip
95207
APN
10425005
CURRENT_STATUS
01
SITE_LOCATION
4545 SHELLEY CT
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4524_PR0450024_4545 SHELLEY_.tif
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EHD - Public
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FROM :BEVERLY <br />141.08 MAY 23, 2003 T®" ROSEMARY <br />4 <br />Stericycle <br />Tear Valued Customer, <br />FAX NO. :2094771764 0 ay. 23 2003 02:21PM P2 <br />F'Ri ASHLEY 9TINSON *140821 PACF": 1/2 <br />The Specialist in <br />Managing Medical <br />waste. <br />Please accept this letter as verification that the containers listed below were <br />removed from your facility on the date noted. <br />Manifest <br />Selection <br />Cust-Site: <br />6038101- <br />1 <br />Stark Date <br />: 07/01/0 <br />2 <br />Document <br />pate <br />Twr <br />Rte Driver Cants Cont WT All WT <br />U01M <br />MDRC001DH2 <br />5/21/2003 <br />5,51 AM <br />Y <br />425BKB <br />2 <br />0 <br />LB <br />MDRC001CQ1 <br />5/14/2003 <br />6:09AM <br />Y <br />425 BKB <br />0 <br />0 <br />LB <br />MDRC001 BV8 <br />5/7/2003 <br />5:53AM <br />Y <br />425 BKB <br />1 <br />9.4 Y <br />LB <br />MDRC001 AY5 <br />4130/2003 <br />5:35 AM <br />Y <br />425 BKB <br />1 <br />21.3 Y <br />LS <br />MDRC001A2Z <br />4/23/2003 <br />9:26AM <br />Y <br />425 81<13 <br />1 <br />9.2Y <br />LB <br />MDRC001947 <br />4/16/2003 <br />.8:35AM <br />Y <br />425 BVH <br />1 <br />0 <br />LB <br />MDRC0018A9 <br />4/9/2003 <br />8:49 AM <br />Y <br />425 EVH <br />1 <br />201 Y <br />LB <br />MDRC0017EQ <br />4/2/2003 <br />7:22 AM <br />Y <br />425EVH <br />1 <br />14Y <br />LS <br />MDRC00161N <br />3/26/2003 <br />7:51 AM <br />Y <br />425 EVH <br />2 <br />56.2 Y <br />LR <br />M DRC0015MZ <br />3/19/2003 <br />6:11 AM <br />Y <br />425 BKB <br />1 <br />31 Y <br />LB <br />MDRC0014RJ <br />3/12/2003 <br />7:15AM <br />Y <br />425 EVH <br />1 <br />33.1 Y <br />LB <br />MDRC0013UY <br />3/5/2003 <br />11:00AM <br />Y <br />425 BKB <br />1 <br />35.9 Y <br />LB <br />M DRC0012ZI <br />2/26/2003 <br />6:OOAM <br />Y <br />425 BKB <br />2 <br />30.5 Y <br />LB <br />MORC001231 <br />2/19/2003 <br />5:55 AM <br />Y <br />425 BKB <br />1 <br />11.4 Y <br />LB <br />MDR0001183 <br />2/12/2003 <br />5:46AM <br />Y <br />425 BKB <br />2 <br />34.9Y <br />LB <br />MDRC0010AX <br />2/512003 <br />8:04AM <br />Y <br />425 EVH <br />1 <br />23Y <br />LB <br />M DRCOOOZDZ <br />1/29/2003 <br />7:10 AM <br />Y <br />425 BKB <br />1 <br />20.5 Y <br />LB <br />MDRCOOOYGG <br />1/22/2003 <br />5:28AM <br />Y <br />425 BKB <br />1 <br />20.9Y <br />LB <br />MDRC000XJL <br />1/15/2003 <br />6:30AM <br />Y <br />425 BKB <br />1 <br />15.8Y <br />LB <br />MDRC000W00 <br />1/8/2003 <br />6A6AM <br />Y <br />42513KB <br />2 <br />42.1 Y <br />LB <br />MDRC000TV8 <br />12/18/2002 <br />6:02AM <br />Y <br />425 BKB <br />1 <br />30.7Y <br />LB <br />MDRC000SWY <br />12/11/2002 <br />4:58AM <br />Y <br />425 BKB <br />0 <br />0 <br />LB <br />M ORC000S7Z <br />12/4/2002 <br />6:57 AM <br />Y <br />425 BKB <br />1 <br />22.5 Y <br />LB <br />M DRCOOOR6S <br />11127/2002 <br />6:22 AM <br />Y <br />425 BKB <br />0 <br />0 <br />LB <br />Certification.: <br />This document <br />represents the information provided in the original manifest. The <br />material listed on the manifest #'s detailed above (Regulated Medical Waste) has been. treated in <br />accordance with the requirements of Federal, State, <br />and local <br />regulations governing the treatment <br />of such waste. <br />A certificate, applicable manifests, and the appropriate <br />logs will remain on file <br />with Stericycle, Inc. <br />Stericycle, Inc. <br />9186 Glenoeks Boulevard, Suite 300, Sun Vavey, Callf®mia 91352. Phone (800) 953-9324 Fax (818) 252-8822 www.9ter1cycle.e0m <br />a <br />
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