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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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MEDICAL WASTE TRACKING DOCUMENT# 312934 <br /> 1.12.58 Nlon-are-h Stred, Suih-C <br /> 0&rden Grove,CA 92941 12 fI G I1 7 <br /> ,900-200-3581 Tell Ftee <br /> FAY ]VIEDASEND <br /> Com. <br /> Ay-QR.(Piok-up SH-wn,C.-P-RT-micAmol"T <br /> LL�nhl Sq-Pb-,L Az--ute PTJ 2 W <br /> BIAS is to Mdf!th3t 91 matakah, ideWnF ified Mare d2n0(-d.padmz@(L <br /> marked md Imbeleak prop n- cogdition BCCQ:4w-S to the <br /> 1-3 1'2 INFU4�;oln R DcPaMer-t of Tnuvortkoa.. <br /> cictm,ak 95 2 0: <br /> U, F:9 ziA - S pya <br /> G WE Pk T 0 R'S A C K N OVL 9 D 0 E-3,fl ER Ns T <br /> T R,U S P 0 R T R FL Ft E a IS-T R P.7 1()N 6 14 6 QAI,-LTIM91IRz3alatcd <br /> d&A'A@d by USW4 C-4 EPS,DOT,and COPi?viii be accepted by <br /> St <br /> NOC-Transf-er SLzdaw ri� Chowr-IW17, CA SIGN—t-TURE C- � (� DATEj -o Z-ZL <br /> Tn a=ent FacditF: <br /> TRANSPOR79RIS <br /> D As g11a➢�Y Sm ar" <br /> As the trwsps�+Vs rep-reselt=vi,i cerfify thBT-1he crjZ9111:%diescribed <br /> 4144 Z TherAm AveIu <br /> hEr6adapd for d#mmzin accordance Vfd aplkabl�CPM <br /> TRDSL-�4 <br /> .............. .....*.g..m..!N.1.d1-1E.1......................... .................V- ew-*..,.a.r.r.......T.....--- <br /> — <br /> -L�-------- .. ............ <br /> .....--..-. ...... <br /> .... ............ ....1.. .I.... ...1. 1-11........111..... .... ... . --.-- <br /> MONIT.WLY MEDICAL WASTE SERVICR FEE <br /> . ..............I........1-1.1,..... ..1--..,-...',............... <br /> ... ............ . <br /> 1,SEPImaxwm- IN ......... :::12111..:111. . ........I.W1.a....... ....... ... ....... ...... <br /> RED E.A-G <br /> . ................ ................ ....................... ............... .......... . ... <br /> � .:: J <br /> ........... ...... ............ ........................................ ....... . .. ....... <br /> .. ............. ....... ................... .................. <br /> ..............@... ...... .............. <br /> TUB: I 39g <br /> � I <br /> l� <br /> Regulated Medical Waste 6.2, �UN32 91��i I <br /> MMDASIND DAM Z <br /> 601/99 'd ZSR [ "N Nd�q : � 61H 'U ', dV <br />
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