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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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Medasmd Biomedical Inc <br /> MEDICAL E TRACKING DOCUMENT 275888 <br /> l 1215 8 Nionarch Stree, <br /> Garden Grave, CA 92841 -7/D-771 1� <br /> 800-200-3591 Toll Fr Date: 7/1/2016 <br /> R06-472-5675 FAX H ` � ,�. . <br /> ww-w let dxom f <br /> Balance Due: <br /> I GENERATOR(Pick-tags Location) � TOR CMZTTFICATIOW <br /> This is to c thtat all mat ideMftd below we c ed,pacd, <br /> Lutseztaa Sq.Post Acute PLT S W ed and lobated in prop ar vondwonfor tsar vii acc to tho <br /> 16_32 N L ticoln St Dep; [them or' ram 'on'. <br /> Stam.CA 95203 <br /> 1209.466.5341 <br /> EM-F•9ern-5vm PRINT NA <br /> \r\ Tilt <br /> 1 <br /> G . TO 'S , OWLW0BvIENT <br /> TRANSPORTER R ISTRAVOW#6146 Get ocr undeta wds�j IN132Si Re�#ilaled Rich rdaus Wasde 9& <br /> Medwend Biomedical Inc de . d by UMA,CA EPA,DOT.and CDPH be accepted by <br /> 11258 on th St Bi 'calx ve-confbmAng a will not be accepted. <br /> Crarden Grove.CA 92841 ; <br /> F.' t <br /> NCKi-T er Sk-doaa:#7,ClwwckW,%CA . <br /> Slt it1Tt71 E rX DATE (��._Z-7 <br /> EMERGENCY 1�Itltvt8 :$04-20t1-381 <br /> r nerat Facility: <br /> T SPORT .'S C1RTIFiCATION: <br /> 4114 E Ther Avcu-aate AAs the cartel's ve,I c dh�t:1le conterata described herein <br /> i+'reattca,�A J3721 ` <br /> I TSpST-a"5 am pwkopd <br /> for alripmM ill wcordeare with all applicable regulphotas. <br /> Quantity <br /> —F <br /> ,+eight Item code DesGttp#ion Rats Amount <br /> PU52 MC3h .Y 1GA1,WASTE SEI VICE FEE <br /> i ( 'S1 k1flC IG SEE... ?rA 7111 f 1S 7r25 <br /> COWM10N... <br /> 1 RfD BAG <br /> Phatmaeeudca! <br /> Tt,IB:1 @ 38g <br /> t IZ <br /> 3 , h�2b:.I��SEN1D Date <br /> CERTIFI D TREATED <br /> B10HAZARD WASTE <br /> ReLaWated Medical Waste 6.2, L' 32 1, PG 11 <br /> NMI)ASEND SIGNATURE: DATE: <br />
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