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COMPLIANCE INFO_1996-2009
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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23500
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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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RETURN <br />GOODS <br />gr_whtrn-otorlasr <br />Page: <br />Cumt. <br />Store #: 5793 <br />"l <br />DRVOS LTD., DBA GUARANTEED RETURNS <br />1.00 Colin Drivc <br />- #: 147 <br />_ <br />t3olbrook, NY 11741-4305 <br />0 #: 805663 <br />(DFA#: RD0188311 EPA#! NY0000997692 ) Print Date <br />: Dec <br />16, 2004 <br />Phone: (209) <br />835-4141 <br />Customer: DEUEL VOCATTONAL INSTITUTION <br />R <br />�®n TT 7aA� �" <br />Z(dile` <br />Address ; 23500 KASSON ROAD <br />F.O- BOX 400 - PHARMACY DEPT. <br />Credits pissed through; 151.52 <br />Wllolea,1lCr: MCKESSON-26 <br />TRACY, CA <br />95376 <br />Cust <br />Ref #/Ar,.bit#: GRX151521,47 <br />Address: 3775 SEAPORT <br />BLVD. <br />contact : ESPERAWZA <br />Service Date: 10/19/04 <br />1.82 W. <br />SACRAMENTO, CA 94403 <br />Deo # AV3509811 <br />DDA <br />QUANTITY <br />VENDOR <br />F I P <br />SIZR <br />STRENGTH <br />DRUG NAME <br />---------- _--------- <br />NDCNO CLASS <br />PRICE <br />....... ===---------- <br />FLEET <br />=--- <br />1.000 <br />•______- <br />1.00 <br />- .e. ---I <br />N/A <br />===_- <br />FLEET PREP KIT #3 W/ PHOSPHO-$ODA 132021201 <br />5.60 <br />7 k J, CONSUMER <br />2.000 <br />150.00 <br />K -Y LUBRICATING .TELLY <br />813700B942 <br />21.34 <br />MA -TOR <br />1.000 <br />150.00 <br />600 MG <br />CALCIUM CARBONATE <br />904323392 <br />3.05 <br />MAJOR <br />11000 <br />90.00 <br />G25MG <br />FIBER -TABS <br />904250091 <br />5.79 <br />PADDOCK <br />1.000 <br />1.00 <br />25 GM <br />ACTIDOSE-AQUA <br />574012174 <br />11.20 <br />QUALITES'I' <br />1.000 <br />1.00 <br />1074 <br />B914ZOYL PEROXIDE <br />603771,082 <br />6,54 <br />ABBOTT FHARM <br />1.000 <br />100.00 <br />125 MG <br />DEPAK07% <br />7462121.3 <br />R <br />48.77 <br />AKORN <br />2.000 <br />1.00 <br />0.11t <br />AK -CON <br />17478021612 <br />R <br />9150 <br />AKORN <br />1.000 <br />1.00 <br />0.1% <br />AK -CON <br />17478021612 <br />R <br />4-75 <br />AKORN <br />1.000 <br />1.00 <br />0.18 <br />AK -CON <br />17478021612 <br />R <br />4.75 <br />AKORN <br />1..000 <br />1.00 <br />3 MG/GM <br />GENTAK <br />17478028435 <br />R <br />6.25 <br />ALCON <br />1.000 <br />1.00 <br />4 k <br />PILOCARPINE HYDROCHLORIDE <br />OPFIALMIC 51,31420615 <br />R <br />4.90 <br />ALCON <br />1.000 <br />1.00 <br />4 & <br />f>ILOCARPINE HYDROCHLORIDE <br />OPHALMIC 613142061.5 <br />R <br />4.90 <br />ALCON <br />11000 <br />1.00 <br />CT,t.OXAN <br />65065525 <br />R <br />20.40 <br />ALCON <br />1,000 <br />1.00 <br />C.I. <br />65065625 <br />R <br />20.40 <br />ALCON <br />1.000 <br />I.00 <br />2% <br />ISOPTO HOMATROPINE <br />998031105 <br />R <br />16.65 <br />ALLERGAN <br />1.000 <br />1.00 <br />0.21;-101k <br />BLEPHAMTOR <br />11980002205 <br />R <br />32..45 <br />ALLERGAN <br />1.000 <br />1.00 <br />0.2g-101; <br />BLEPHAMIDE <br />11.980002205 <br />R <br />37.45 <br />ALLERGAN <br />1.000 <br />1,00 <br />0.24-101: <br />BLEPI- MIDE <br />1.1.980002205 <br />R <br />32,45 <br />AMERICAN PHARM. INC. <br />1.000 <br />25,00 <br />1000MCG <br />CYANOCOBALAMIN <br />6332304401 <br />R <br />1.44 <br />AMERICAN PHARM- TNC. <br />11000 <br />1.00 <br />300MG <br />NEBUPENT <br />6332387715 <br />R <br />79,00 <br />1.000 <br />1.00.00 <br />3MG <br />ENTOC`ORT EC <br />186070210 <br />R <br />197.87 <br />0/ZLNECA <br />7ENECA <br />1.000 <br />100.00 <br />10 MO <br />PLENDIL, <br />1.Ri045258 <br />R <br />185,64 <br />A„ ....,/7,ENECA <br />.200 <br />30,00 <br />10 MCA <br />PLENDIL <br />1850452.31 <br />R <br />10.50 <br />ASTRA/ZF;NROA <br />.8n0 <br />100.00 <br />3MG <br />ENTOCORT EC <br />186070210 <br />R <br />158.30 <br />ASTRA/ZENECA <br />.130 <br />100.00 <br />20 MG <br />7.ESTRIL <br />310013239 <br />R <br />13.19 <br />AVENTIS PHARM- <br />4,000 <br />1.00 <br />10 GM <br />NASACORT <br />75150543 <br />R <br />191-52 <br />BAUSCH LOMB PHARM, <br />1.000 <br />1.00 <br />18 <br />ATROPINE SUT„PATE <br />24208075006 <br />R <br />2,16 <br />BAUSCH LOMB PHARM, <br />1.000 <br />1.00 <br />14 <br />ATROPINE SULFAIT <br />2420807$006 <br />R <br />2.16 <br />9AVSCH LOMB PHhRM, <br />1.000 <br />1.00 <br />1w <br />PILOSTAT <br />2420806751.5 <br />R <br />2.67 <br />BAUSCH LOMB PITARM, <br />1.000 <br />1.00 <br />21 <br />PILOCARPINE HYDROCHLORIDE <br />2420068.11.5 <br />R <br />3.43 <br />BOFH)tINGER <br />_500 <br />4.00 <br />0.3 MG <br />CATAPRES-TTS-3 <br />597003334 <br />R <br />56.70 <br />BRISTOL/SQUIBB/NOVO <br />1.000 <br />60.00 <br />150MG <br />.?ERZONE <br />87003931 <br />R <br />87.80 <br />BRISTOL/SQUISS/NOVO <br />1 ,500 <br />60.00 <br />150MG <br />SERZONS <br />870039.31 <br />R <br />43,90 <br />BRISTOL/SOUIBB/NOVO <br />.417 <br />60.00 <br />100MG <br />SERZONE <br />87003231. <br />R <br />35.94 <br />RRIh1'0f �/SQUIBB/NOVO <br />.500 <br />60.00 <br />100MG <br />SBRZONE <br />87003231 <br />R <br />43.09 <br />DEY <br />1.000 <br />25.00 <br />0,6.1 <br />MV,'TAPPOTERENOL SULFATE <br />49$02067603 <br />R <br />8,90 <br />DEY <br />4.000 <br />25.00 <br />0.611 <br />METAPROTERENOL SULFATE <br />49502057603 <br />R <br />35.60 <br />FOUGERA <br />11000 <br />7..00 <br />CLOBETASOL PROPIONATE TOPICAL SOL 168026950 <br />R <br />32,00 <br />FOUGERA <br />1.000 <br />1.00 <br />0.011 <br />FLUOCINOLONE ACIM"IDE <br />16800581.5 <br />R <br />1.25 <br />FOUGERA <br />1.000 <br />1.00 <br />0.011: <br />FLUOCINOLONE ACETONIDE <br />16800581.5 <br />R <br />1.25 <br />FUJISAWA HEALTHCARE <br />2.000 <br />1.00 <br />3 MG/ML <br />ADENOCARD <br />469823412 <br />R <br />65.50 <br />GENEVA PHARM <br />1.000 <br />100.00 <br />200 M@ <br />THIORIDAZINE HCL <br />7BI167401 <br />R <br />82.55 <br />C;ENEVA PHARM <br />1.000 <br />100.00 <br />1 MG <br />WARFARIN SODIUM <br />781035207 <br />R <br />39.82 <br />GRKP,VA PHARM <br />1.000 <br />100.00 <br />25 MG <br />THIORTDAZINE HCL <br />781162401 <br />R <br />25.71 <br />GLADES PHARM <br />1.000 <br />1.00 <br />2 % <br />ERYTHROMYCIN <br />5936624623 <br />R <br />12.54 <br />GLAXO WELLCOME <br />.250 <br />60.00 <br />500 MG <br />CEFTIN <br />173039442 <br />R <br />123-60 <br />IVAY. <br />1.000 <br />100,00 <br />500 MO -0 <br />PROBENECID W/COLCHICINE <br />172219360 <br />R <br />57.99 <br />T.VAX <br />1.000 <br />100,00 <br />0 <br />19-1+LRX <br />102405201 <br />R <br />26.19 <br />TVAX LABORATORIES <br />3.000 <br />1.00 <br />0,08 MG/ <br />QVAR <br />59310017180 <br />R <br />172.08 <br />IVAX I..AHORATORIES <br />1.000 <br />1.00 <br />0.04 MG/ <br />QVAR <br />59310017540 <br />R <br />45-52 <br />JANSSEN/ORTNO/MCN&IL <br />1.000 <br />5.00 <br />100 MCI/M <br />HALDOL DECANOATE <br />45025414 <br />R <br />343.55 <br />JANSSEN/ORTtIO/MCNEIT. <br />.500 <br />50100 <br />200 MG <br />FLOXIN <br />62164002 <br />R <br />112.58 <br />LILLY <br />.500 <br />E0.00 <br />2.5 MO <br />ZYPREXT <br />21112G0 <br />R <br />118-91 <br />MAJOR <br />2.000 <br />100.00 <br />IMG <br />tOXAZOSIN MESYLATE <br />904552260 <br />R <br />50.00 <br />& CO. INC. <br />7,.000 <br />1100 <br />26 <br />TRUSOPT <br />6351936 <br />R <br />4G.57 <br />OK k CO. INC. <br />1.000 <br />1.00 <br />2$ <br />TRUSOPT <br />6351935 <br />R <br />45.57 <br />n & CO. INC, <br />.500 <br />100.00 <br />5 MG <br />MEPHIiTON <br />6001368 <br />R <br />26-13 <br />MONARCH PHARM <br />1.000 <br />10.00 <br />600,000 <br />BICILLIN L-A <br />61570014710 <br />R <br />314.25 <br />MONARCH PHARM <br />1.000 <br />10.00 <br />600000 U <br />BICILLIN L-A <br />61570014210 <br />R <br />643.94 <br />MONARCH PHARM <br />1.000 <br />10.00 <br />600,000 <br />BICILLIN L-A <br />51510014710 <br />P- <br />314.25 <br />MORTON GROVE PHARM <br />1.000 <br />1.00 <br />2 1: <br />LIDOCAINE HCL <br />604S.146400 <br />R <br />7.10 <br />MYi..AN <br />1.000 <br />1000.00 <br />5 MG <br />ILILOPERIDOL <br />'37803'2.710 <br />R. <br />780.00 <br />
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