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MEDICAL WASTE GENERATOR <br /> FILE COVER SHEET <br /> ,-; <1a-o-/'-�,/ <br /> FACILITY ID#: FA0010957 P/E: 4524 DATE: 03/29/2011 <br /> PROGRAM RECORD#: PR0536170 P/E: DATE: <br /> P/E: DATE: <br /> ADDRESS: 442 E HAMPTON ST CITY: STOCKTON <br /> FACILITY NAME (DBA): HAMPTON CARE CENTER <br /> FACILITY PHONE: (209) 466-0457 FACILITY FAX: <br /> FACILITY CONTACT: ALICIA SERNA,EVS SUPERVISOR PHONE: (209) 466-0456 <br /> OWNER NAME: SNF WINDSOR CITY: STOCKTON <br /> OWNER ADDRESS: PHONE: (209)478-5291 <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 />