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COMPLIANCE INFO_1996-2009
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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4500 - Medical Waste Program
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PR0506192
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COMPLIANCE INFO_1996-2009
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Last modified
7/14/2025 2:23:06 PM
Creation date
7/3/2020 10:20:27 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
1996-2009
RECORD_ID
PR0506192
PE
4530 - LG QUANITY GENERATOR
FACILITY_ID
FA0007263
FACILITY_NAME
DEUEL VOCATIONAL INSTITUTION
STREET_NUMBER
23500
STREET_NAME
KASSON
STREET_TYPE
RD
City
TRACY
Zip
95378
CURRENT_STATUS
Inactive, non-billable
SITE_LOCATION
23500 KASSON RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4530_PR0506192_23500 KASSON_FILE 1.tif
Site Address
23500 KASSON RD TRACY 95378
Tags
EHD - Public
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CPR Pharmaceutical Reverse Distribution Se`!!Ce Agreement ® Page 4 of 7 <br />Guaranteed Returns® agrees to comply with authorizing CPR, or an authorized/designated representative <br />of CPR, access and right to examine any information, processing data and records that are pertinent to <br />the facilities utilizing this agreement. <br />Guaranteed Returns' shall maintain for the term of this Agreement general and professional liability <br />insurance in the minimum amount of $1 million per incident and $3 million in the aggregate covering its <br />activities under this Agreement. Upon request, Guaranteed Returns shall provide CPR with a certificate <br />of insurance evidencing the necessary coverage upon execution of this Agreement. <br />Guaranteed Returns' represents and warrants that it is not a Sanctioned Person or Entity. For purposes of <br />this Agreement, the term "Sanctioned Person or Entity" means a person or entity who (a) has been <br />excluded by the Office of the Inspector General of the Department of Health and Human Services from <br />participation in Medicare. Medicaid or any state health care program (defined at 42 C.F.R. § 1001.2) <br />pursuant to 42 C.F. R. Part 1001 or (b) has been excluded by the State of California Department of Health <br />Services from participation in California's Medi -Cal program pursuant to 42 C.F,R. Par 1002. Guaranteed <br />Returns® shall notify CPR within ten (10) days after it receives notice that it is a Sanctioned Person or <br />Entity. CPR shall have the right to terminate this Agreement without penalty at any time after learning that <br />Guaranteed Returns® is a Sanctioned Person or Entity. <br />By signing below, both parties agree that they have read and understand the information above. <br />CA Prison Health Care Receivership Corp. (CPR) Guaranteed Returns° Corporate Offices <br />1731 Technology Drive 100 Colin Drive <br />Suite 700 Holbrook, NY 11741-4308 <br />San Jose, CA 95110 "1 Toll Free Number: 1-800473-2138 <br />Fax: (631) 870-2118 <br />l <br />Signed; /' t -- Signed: 21, <br />Print Name: Authorized Representative: Ryan J. Kasper <br />Title: Z L ` ' ` Title: VP National Accounts & Government Affairs <br />' <br />Date: ' (, ' "�;. Date: <br />Contract Number: GRXCPRCACR043010 <br />GRX Administrator: Ryan Kasper Div.: NY <br />Contact Number: 1-800-473.2138 Extension 134 <br />Agreement Draft Date: 5/1/07, 5/18/07, 5/30/07 <br />Addendum A: Date: <br />
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