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ACILITY ID#: FA0002878 <br />ROGRAM RECORD #: <br />MEDICAL WASTE GENERATOR <br />FILE COVER SHEET <br />PR0450056 <br />i <br />E <br />ADDRESS: 9289 BRANSTETTER PL <br />P/E: 4524 <br />P/E: <br />P/E: <br />DATE: 01/07/2009 <br />DATE: <br />DATE: <br />CITY: STOCKTON <br />ACILITY NAME (DBA): WAGNER HEIGHTS NURSING & REHAB CTR <br />ACILITY PHONE: (209) 477-5252 0 FACILITY FAX: <br />ACILITY CONTACT: PHONE: <br />f WNER NAME: WAGNER HEIGHTS CONV HOSPITAL CITY: STOCKTON <br />I <br />OWNER ADDRESS: 9289 BRANSTETTER PL PHONE: <br />Water Service: <br />❑ <br />Large PWS <br />❑ <br />Small PWS <br />❑ <br />Domestic Well <br />Sewer Service: <br />❑ <br />Public Sewer <br />❑ <br />OnSite WWTX <br />❑ <br />OnSite Septic System <br />Stormwater: <br />❑ <br />Street Drains <br />,� <br />Street Ditches <br />❑ <br />OnSite Ponds ❑ Other <br />EH 00 18 rev 05/2007 <br />rpt # : M WCS New Owner: Create a New Cover Sheet/ Change Label of File <br />