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COMPLIANCE INFO_1996-2009
EnvironmentalHealth
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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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Entry Properties
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
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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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UV I <br />DEVOS LTD., DBA GUARANTEED RETURNS <br />100 Colin Drive Holbrook, NY 11741-4306 <br />(DEA#: RD0188311 EPA#: NY0000997692 ) <br />RETURN GOODS <br />RETURNABLES <br />Credits passed through: 15152 <br />Cust Ref #/Debit#: GRX15152161 <br />Service Date: 12/29/05 <br />Page: 271 <br />Print Date : Jan 19, 2006 <br />Phone: (209) 835-4141 <br />Wholesaler: MCKESSON-26 <br />Address: 3775 SEAPORT BLVD. <br />182-W. SACRAMENTO, CA 94403 <br />QUANTITY <br />gr_whtrn-storlasr <br />""" titer A <br />u. <br />Cust. : 4 <br />ys <br />15152 <br />F P <br />Store #: <br />5793 <br />DRUG NAME <br />atch #: <br />161 <br />PRICE <br />^r #: <br />805663 <br />1.00 <br />L -omer: <br />DEUEL VOCATIONAL INSTITUTION <br />_ <br />NOVOLIN R <br />Address <br />: 23500 KASSON ROAD <br />-_--_--- <br />55.34 <br />ROCHE DIAGNOSTICS <br />P.O. BOX 400 - PHARMACY DEPT. <br />50.00 <br />TRACY, CA 95376 <br />ADVANTAGE <br />Contact <br />VINCENT <br />31.85 <br />Dea # <br />AV3309831 <br />1000.00 <br />UV I <br />DEVOS LTD., DBA GUARANTEED RETURNS <br />100 Colin Drive Holbrook, NY 11741-4306 <br />(DEA#: RD0188311 EPA#: NY0000997692 ) <br />RETURN GOODS <br />RETURNABLES <br />Credits passed through: 15152 <br />Cust Ref #/Debit#: GRX15152161 <br />Service Date: 12/29/05 <br />Page: 271 <br />Print Date : Jan 19, 2006 <br />Phone: (209) 835-4141 <br />Wholesaler: MCKESSON-26 <br />Address: 3775 SEAPORT BLVD. <br />182-W. SACRAMENTO, CA 94403 <br />QUANTITY <br />DEA <br />VENDOR <br />F P <br />SIZE <br />STRENGTH <br />DRUG NAME <br />NDCNO <br />CLASS <br />PRICE <br />NOVO-NORDISK <br />2 .000 <br />1.00 <br />100 U/ML <br />_ <br />NOVOLIN R <br />'----_---_- <br />169183311 <br />---- <br />-_--_--- <br />55.34 <br />ROCHE DIAGNOSTICS <br />1.000 <br />50.00 <br />50 <br />ADVANTAGE <br />7553700553 <br />31.85 <br />WATSON PHARMA. INC. <br />.750 <br />1000.00 <br />10 GR <br />CALCIUM CARBONATE <br />536341410 <br />5.32 <br />WATSON PHARMA. INC. <br />.800 <br />100.00 <br />100 MG <br />B-6 <br />536440901 <br />1.19 <br />ABBOTT PHARM <br />1.000 <br />90.00 <br />54 MG <br />TRICOR <br />74400990 <br />R <br />84.45 <br />ABLE. LABS <br />2.000 <br />25.00 <br />0.4/MG <br />NITRO TAB <br />5326525052 <br />R <br />74.40 <br />ABLE LABS <br />1.000 <br />25.00 <br />0.4/MG <br />NITRO TAB <br />5326525052 <br />R <br />37.20 <br />ALCON <br />2.000 <br />1.00 <br />2% <br />ISOPTO HOMATROPINE <br />998031105 <br />R <br />36.80 <br />AMGEN <br />.100 <br />10.00 <br />480MCG <br />FILGRASTRIM NEUPOGEN <br />5551354601 <br />R <br />30.34 <br />AMGEN <br />.100 <br />10.00 <br />3000U <br />EPOGEN (EPOETIN ALFA) <br />5551326701 <br />R <br />3.53 <br />AVENTIS/PASTEUR <br />1.000 <br />1.00 <br />0 <br />TETANUS DIPHTHERIA TOXOIDS <br />49281027183 <br />R <br />87.97 <br />BAUSCH LOMB PHARM. <br />1.000 <br />1.00 <br />10% <br />SODIUM SULFACETAMIDE <br />24208067004 <br />R <br />2_.0-6 <br />BAUSCH LOMB PHARM. <br />1.000 <br />1.00 <br />0.5% <br />PROPARACAINE HCL <br />24208073006 <br />R <br />4.99 <br />BAUSCH LOMB PHARM. <br />1.000 <br />1.00 <br />FLURATE <br />24208073205 <br />R <br />6.56 <br />BAUSCH LOMB PHARM. <br />1.0.00 <br />1.00 <br />FLURATE <br />24208073205 <br />R <br />6.56 <br />BRISTOL/SQUIBB/NOVO <br />.667 <br />30.00 <br />10 MG <br />ABILIFY <br />59148000813 <br />R <br />192.58 <br />ETHEX <br />1.000 <br />100.00 <br />0.4 MG <br />NITROQUICK <br />5817732404 <br />R <br />5.-84 <br />FOUGERA <br />3.000 <br />1.00 <br />N/A <br />NYSTATIDI/TRIAMCINOLONE ACETONI <br />1680081.15 <br />R <br />4.50 <br />G &W <br />1.000 <br />12.00 <br />25MG <br />PROCHLORPERAZINE <br />713013512 <br />R <br />26.06 <br />GENEVA PHARM <br />1.000 <br />100.00 <br />5 MG <br />PROCHLORPERAZINE MALEATE <br />781502001 <br />R <br />31.95 <br />GLAXO WELLCOME <br />1..000 <br />1.00 <br />20MCG/ML <br />ENGERIX-B <br />5816085701 <br />R <br />50.63 <br />XO WELLCOME <br />.767 <br />30.00 <br />250 MG <br />AUGMENTIN <br />29607447 <br />R <br />58.08 <br />RA WORLDWIDE <br />0 <br />6.000 <br />1.00 <br />50 MG <br />NITROPRESS <br />74302401 <br />R <br />35.70 <br />N/ORTHO/MCNEIL - <br />.600 <br />30.00 <br />100 MG <br />SPORANOX <br />50458029001 <br />R <br />148.44 <br />LIL..... <br />.400 <br />60.00 <br />2.5 MG <br />ZYPREXA <br />2411260 <br />R <br />124.20 <br />LILLY <br />.600 <br />30.00 <br />40 MG <br />STRATTERA <br />2322930 <br />R <br />57.88 <br />LILLY <br />1.000 <br />100.00 <br />7.5 MG <br />ZYPREXA <br />2411633 <br />R <br />743.00 <br />LILLY <br />1.000 <br />30.00 <br />10 MG <br />STRATTERA <br />2322730 <br />R <br />93.81 <br />LILLY <br />.400 <br />30.00 <br />10 MG <br />STRATTERA <br />2322730 <br />R <br />37.52 <br />MERCK ;VACCINES) <br />2.000 <br />1.00 <br />0 <br />PNEUMOVAX 23 -... <br />6473900 <br />R <br />215.54 <br />MYLAN <br />1.000 <br />30.00 <br />45 MG <br />MIRTAZAPINE <br />378354593 <br />R <br />35.27 <br />MYLAN <br />.950 <br />100.00 <br />5 MG <br />HALOPERIDOL <br />378032701 <br />R <br />30.57 <br />MYLAN <br />.600 <br />100.00 <br />0.5 MG <br />HALOPERIDOL <br />378035101 <br />R <br />6.14 <br />PFIZER <br />.900 <br />100.00 <br />150 MG <br />MYCOBUTIN <br />13530117 <br />R <br />538.90 <br />RANBAXY <br />.120 <br />100.00 <br />10 MG <br />BETHANECHOL CHLORIDE <br />63304099401 <br />R <br />11.48 <br />RANBAXY <br />1.000 <br />100.00 <br />250 MG <br />CIPROFLOXACIN <br />63304070901 <br />R <br />33.40 <br />ROCHE/SYNTEX <br />.906 <br />180.00 <br />200MG <br />FORTOVASE <br />4024648 <br />R <br />190.88 <br />ROCHE/SYNTEX <br />.800 <br />10.00 <br />500 MG <br />ROCEPHIN <br />4196301 <br />R <br />191.18 <br />ROCHE/SYNTEX <br />.800 <br />10.00 <br />1 GM <br />ROCEPHIN <br />4196401 <br />R <br />327.11 <br />TEVA PHARM. <br />1.000 <br />100.00 <br />1.25MG <br />GLYBURIDE TABLETS,USP <br />93834201 <br />R <br />16.54 <br />TEVA PHARM. <br />1.000 <br />100.00 <br />1.25MG <br />GLYBURIDE TABLETS,USP <br />93834201 <br />R <br />16.54 <br />UPSHER-SMITH <br />,750 <br />100.00 <br />100 MG <br />AMANTADINE HCL <br />832101500 <br />R <br />30.30 <br />UPSHER-SMITH <br />1.000 <br />100.00 <br />100 MG <br />AMANTADINE HCL <br />832101500 <br />R <br />40.40 <br />UPSHER-SMITH <br />.700 <br />100.00 <br />25 MG <br />CHLORPROMAZINE HCL <br />.832030100 <br />R <br />17.47 <br />WARRICK <br />.738 <br />42.00 <br />200 MG <br />RIBAVIRIN <br />59930152304 <br />R <br />201.60 <br />WARRICK <br />.317 <br />60.00 <br />0.83MG <br />ALBUTEROL SULFATE INHALATION SOLUTI <br />5993015173 <br />R <br />22.82 <br />WATSON PHARMA. INC. <br />.500 <br />100.00 <br />25 MG <br />DESIPRAMINE HCL <br />591080801 <br />R <br />1.92 <br />WATSON PHARMA. INC. <br />.250 <br />100.00 <br />2 MG <br />TRIHEXYPHENIDYL HCL <br />591533501 <br />R <br />3.76 <br />WATSON PF.ARMA. INC. <br />.670 <br />100.00 <br />2 MG <br />TRIHEXYPHENIDYL HCL <br />591533501 <br />R <br />10.08 <br />WATSON PHARMA. INC. <br />.200 <br />60.00 <br />100 MG <br />BUPROPION HCL <br />591085860 <br />R <br />15.43 <br />WYETH/AYERST/LEDERLE <br />.200 <br />100.00 <br />37.5 MG <br />EFFEXOR <br />8078101 <br />R <br />30.15 <br />WYETH/AYERST/LEDERLE <br />.250 <br />100.00 <br />37.5 MG <br />EFFEXOR <br />8083701 <br />R <br />60.83 <br />YERS'T/LEDERLE <br />.250 <br />100.00 <br />75 MG <br />EFFEXOR XR <br />8083301 <br />R <br />68.14 <br />WYETH/AYERST/LEDERLE <br />.850 <br />100.00 <br />0.625,MG <br />PREMART_N <br />46086781 <br />R <br />79.09 <br />
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