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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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L
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LINCOLN
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1032
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4500 - Medical Waste Program
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PR0536535
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COMPLIANCE INFO
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Entry Properties
Last modified
12/17/2024 3:53:33 PM
Creation date
7/3/2020 10:20:17 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0536535
PE
4524 - SKILLED NURSING FACILITY
FACILITY_ID
FA0018491
FACILITY_NAME
LINCOLN SQUARE POST ACUTE REHAB
STREET_NUMBER
1032
Direction
N
STREET_NAME
LINCOLN
STREET_TYPE
ST
City
STOCKTON
Zip
95203
APN
13715510
CURRENT_STATUS
Inactive, non-billable
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4524_PR0536535_1032 N LINCOLN_.tif
Site Address
1032 N LINCOLN ST STOCKTON 95203
Tags
EHD - Public
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Medomd Biewedic�d Inc MEDICAL WASTETRACKING DOCUMENT- 313695 <br /> 11L. 9 MMarcb Street, Shite C <br /> dea Groove, CA 928,4 <br /> 200-200-3591 'Toll Fret = ' <br /> 900472-5075 FAX n d <br /> N D <br /> m� <br /> Bal2 ace Dere: <br /> r— ,Vial,-up 1A�31'IDl'1} <br /> � TrJ'R.I SHI •I�•�E12TI�'1��'t�i�1 <br /> � aG�i��4 i Qr�; <br /> This is to certify tat all mz6zh itim1lf.ed below 4e cassiAed,packaget <br /> pp,incolu Sq.Post Aeutc PU 52 VT z `ed aftd Iahelad i4proper emnditim for trmsponzfm according To the <br /> 1032 N Ua t:Gka St Depument of Trams#6n3r qn._ <br /> , ck`ah, CA 95203 <br /> 1209.466-534' _ I2IT NA# 1 El ,�/ �t; "J��- TIME : V_"P -f <br /> PZ1 F::M S.PM <br /> C �tT�It;'��G'IfN4�I.F.1�uF�1�iT <br /> TF,.�NSPORTIR REGISTRATION 0 6146 Wy UN3291 R.epilated Biolia adwis Wasto as <br /> y Mednend Biome&-&Int defied by UB ISA, CAL EFS, UOT,and CDPH WM be jcceptad.by <br /> 11259 t+X_ou;>t St 7�Iedasc�d Biomedical.�F®n-�anta �ea5ze vrill�aet b�a:tep d <br /> Om*n Gave, Ca 92541 <br /> I <br /> Clo a. CA <br /> ��,���a`�rauhial�:sea-Boa-3sa1 <br /> j <br /> TreaDmat Facility: TRANSPORTER15 CERT1FWATION: <br /> Daniels Sharpmut As its uzasp orter's rnpzesee►talive,I cerhfy that the Contents described <br /> 4144 R Therese Avenue herein are pachaged for slvpraesst in arttrdwce with-Ji applicable <br /> ::: '::;::::,:a:::::::::::::;:E� GPi imtr:::::;':';::::: .......:. . ::.At ount <br /> ..... ...:.... ......... ....... ---• i- <br /> PU52 lia CINITHLY MEDICAL WASTE R.VFC'PB8 <br /> II ::._�. :..: ........................ ... , <br /> 4 ptTI IIl 113 1 r15 1122 <br /> IM <br /> ` RED 9AO <br /> f 1 U13: i 39y <br /> i <br /> �p <br /> �s rb A <br /> I <br /> L Regidated Medical Waste 6e2,.U 3291, PG JU <br /> — <br /> a <br /> H,4FL'ASMD SIGN A-TURE DATA: <br /> 601/B 'd ZSRl "N WdZS : E 6102 'O[ 'add.. <br />
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