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COMPLIANCE INFO_1996-2009
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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KASSON
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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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gr_whtrn-storlaar <br />Cust. #: 15152 <br />ot. <br />re #: 5793 <br />ch #: 149 <br />#: 805663 <br />9IdY(I nfe,W <br />ckurns, ` <br />Customer: DEUEL VOCATIONAL INSTITUTION <br />Address 23500 KASSON ROAD <br />P.O. BOX 400 - PHARMACY DEPT <br />TRACY, CA 95376 <br />Contact ESPERANZA <br />Dea # AV3309831 <br />40 RETURN GOODS <br />Page: 251 <br />DEVOS LTD., DBA GUARANTEED RETURNS <br />100 Colin Drive <br />Holbrook, NY 11741-4306 <br />(DEA#: RD0188311 EPA#: NY0000997692 ) Print Date : Jan 5, 2005 <br />Phone: (209) 835-4141 <br />RETURNABLES <br />Credits passed through: 15152 Wholesaler: MCKESSON-26 <br />Cust Ref #/Debit: GRX15152149 Address: 3775 SEAPORT BLVD. <br />Service Date: 12/16/04 182-W, SACRAMENTO, CA 94403 <br />TOTAL COST OF RETURNABLE PRODUCT: 22 <br />CREDIT ISSUED DIRECT FROM VENDORS: -5 <br />LILLY 100.13 <br />ABBOTT HOST 15.82 <br />AMERICAN PHARM. INC. 52.00 <br />BRISTOL/SQUIBB/NOVO 121.30 <br />MYLAN 5614.12 <br />UDL 32.00 <br />DRUG NAME <br />MEDIPLAST <br />ASPIRIN <br />HUMULIN R <br />GLUTOSE 15 <br />GLUTOSE 15 <br />CALCIUM ANTACID <br />FERROUS GLUCONATE <br />RUGBY <br />DOBUTAMINE HCL <br />DOBUTAMINE HCL <br />VANCOMYCIN HYDROCHLORIDE <br />NEULASTA <br />LOVENOX <br />LOVENOX <br />GOLYTELY <br />GOLYTELY <br />SERZONE <br />SERZONE <br />ADENOCARD <br />ADENOCARD <br />CHLORPROMAZINE HCL <br />TERAZOSIN HYDROCHLORIDE <br />ENGERIX-B <br />ENGERIX-B <br />LANOXIN <br />RISPERDAL <br />PROZAC WEEKLY <br />VIOXX <br />VIOXX <br />COZAAR <br />NEOSPORIN G.U. IRRIGANT <br />THIOTHIXENE <br />FLUOXETINE <br />DIFLUCAN <br />DIFLUCAN <br />VALPROIC ACID SYRUP USP <br />INTRON A (SOLUTION FOR INJECTION) <br />PEG -INTRON <br />LITHOBID <br />CLONIDINE HCL <br />DILTIAZEM HCL <br />DILTIAZEM HYDROCHLORIDE <br />584.01 <br />935.37 <br />16.08 SERVICE FEE: -3613.44 <br />ESTIMATED CREDIT ISSUED FROM WHOLESALER: 13035.20 <br />Total Items: 83 <br />ase contact ABBOTT (PPD) ® 800-255-5162 for credit details. <br />DEA <br />NDCNO CLASS <br />7214001496 <br />182044889 <br />2821501 <br />574006915 <br />574006915 <br />603009526 <br />677006901 <br />536181059 <br />74234401 R <br />74234401 R <br />6332328420 R <br />55513019001 R <br />75062430 R <br />75062430 R <br />52268070001 R <br />52268070001 R <br />87003931 R <br />87003147 R <br />469823412 R <br />469823412 R <br />781171601 R <br />781205401 R <br />5BI60085716 R <br />58160085716 R <br />173024256 R <br />5045830503 R <br />2300475 R <br />6011031 R <br />6007431 R <br />6095154 R <br />6157004710 R <br />378501010 R <br />4988473501 R <br />49342030 R <br />49342030 R <br />121067516 R <br />85123501 R <br />85127901 R <br />32449201 R <br />51079030120 R <br />5254477605 R <br />5254477501 R <br />PRICE <br />24.06 <br />24.96 <br />24.40 <br />1.10 <br />6.60 <br />2.88 <br />3.64 <br />7.49 <br />7.91 <br />7.91 <br />52.00 <br />2360.00 <br />163.37 <br />16.34 <br />8.00 <br />8.00 <br />51.19 <br />70.11 <br />32.75 <br />65.50 <br />24.97 <br />40.00 <br />7400.58 <br />3700.29 <br />27.65 <br />99.27 <br />75.73 <br />433.98 <br />144.66 <br />21.30 <br />121.22 <br />5614.12 <br />280.06 <br />101.64 <br />62.68 <br />12.50 <br />977.18 <br />410.18 <br />42.64 <br />32.00 <br />21.65 <br />1.50 <br />QUANTITY <br />VENDOR <br />F I P <br />SIZE <br />STRENGTH <br />BEIERSDORF <br />1.000 <br />25.00 <br />IVAX <br />6.000 <br />100.00 <br />5 GR <br />LILLY <br />1.000 <br />1.00 <br />100 U/ML <br />PADDOCK <br />1.000 <br />1.00 <br />15G <br />PADDOCK <br />6.000 <br />1.00 <br />ISG <br />QUALITEST <br />2.000 <br />150.00 <br />0 <br />UNITED RESEARCH <br />2.000 <br />100.00 <br />300 MG <br />WATSON PHARMA. INC. <br />3.000 <br />1.00 <br />ABBOTT HOSP <br />1.000 <br />10.00 <br />250 MG <br />ABBOTT HOSP <br />1.000 <br />10.00 <br />250 MG <br />AMERICAN PHARM. INC. <br />4.000 <br />10.00 <br />1G <br />AMGEN <br />1.000 <br />1.00 <br />6 MG/0.6 <br />AVENTIS PHARM. <br />1.000 <br />10.00 <br />30 MG <br />AVENTIS PHARM. <br />.100 <br />10.00 <br />30 MG <br />BRAINTREE <br />1.000 <br />1.00 <br />BRAINTREE <br />1.000 <br />1.00 <br />BRISTOL/SQUIBB/NOVO <br />.583 <br />60.00 <br />150MG <br />BRISTOL/SQUIBB/NOVO <br />833 <br />60.00 <br />50 MG <br />FUJISAWA HEALTHCARE <br />1.000 <br />1.00 <br />3 MG/ML <br />FUJISAWA HEALTHCARE <br />2.000 <br />1.00 <br />3 MG/ML <br />VA PHARM <br />1.000 <br />100.00 <br />25 MG <br />'A PHARM <br />1.000 <br />100.00 <br />10/MG <br />WELLCOME <br />6.000 <br />25.00 <br />20 MCG/M <br />GLA%6 WELLCOME <br />3.000 <br />25.00 <br />20 MCG/M <br />GLAXO WELLCOME <br />1.000 <br />100.00 <br />.125MG <br />JANSSEN/ORTHO/MCNEIL <br />1.000 <br />1.00 <br />1 MG <br />LILLY <br />1.000 <br />4.00 <br />90MG <br />MERCK & CO. INC. <br />6.000 <br />30.00 <br />25 MG <br />MERCK & CO. INC. <br />2.000 <br />30.00 <br />12.5MG <br />MERCK & CO. INC. <br />.178 <br />90.00 <br />25MG <br />MONARCH PHARM <br />1.000 <br />10.00 <br />40MG <br />MYLAN <br />8.900 <br />1000.00 <br />10 MG <br />PAR PHARM <br />1.000 <br />100.00 <br />20MG <br />PFIZER <br />.433 <br />30.00 <br />100 MG <br />PFIZER <br />.267 <br />30.00 <br />100 MG <br />PHARMACEUTICAL ASSC. <br />1.000 <br />1.00 <br />250MG/5M <br />SCHERING <br />2.000 <br />6.00 <br />5 MIL IU <br />SCHERING <br />1.000 <br />1.00 <br />150MG <br />SOLVAY PHARM <br />1.000 <br />100.00 <br />300 <br />UDL <br />2.000 <br />100.00 <br />0.3 MG <br />WATSON PHARMA. INC. <br />.600 <br />500.00 <br />60MG <br />WATSON PHARMA. INC. <br />.350 <br />100.00 <br />30MG <br />TOTAL COST OF RETURNABLE PRODUCT: 22 <br />CREDIT ISSUED DIRECT FROM VENDORS: -5 <br />LILLY 100.13 <br />ABBOTT HOST 15.82 <br />AMERICAN PHARM. INC. 52.00 <br />BRISTOL/SQUIBB/NOVO 121.30 <br />MYLAN 5614.12 <br />UDL 32.00 <br />DRUG NAME <br />MEDIPLAST <br />ASPIRIN <br />HUMULIN R <br />GLUTOSE 15 <br />GLUTOSE 15 <br />CALCIUM ANTACID <br />FERROUS GLUCONATE <br />RUGBY <br />DOBUTAMINE HCL <br />DOBUTAMINE HCL <br />VANCOMYCIN HYDROCHLORIDE <br />NEULASTA <br />LOVENOX <br />LOVENOX <br />GOLYTELY <br />GOLYTELY <br />SERZONE <br />SERZONE <br />ADENOCARD <br />ADENOCARD <br />CHLORPROMAZINE HCL <br />TERAZOSIN HYDROCHLORIDE <br />ENGERIX-B <br />ENGERIX-B <br />LANOXIN <br />RISPERDAL <br />PROZAC WEEKLY <br />VIOXX <br />VIOXX <br />COZAAR <br />NEOSPORIN G.U. IRRIGANT <br />THIOTHIXENE <br />FLUOXETINE <br />DIFLUCAN <br />DIFLUCAN <br />VALPROIC ACID SYRUP USP <br />INTRON A (SOLUTION FOR INJECTION) <br />PEG -INTRON <br />LITHOBID <br />CLONIDINE HCL <br />DILTIAZEM HCL <br />DILTIAZEM HYDROCHLORIDE <br />584.01 <br />935.37 <br />16.08 SERVICE FEE: -3613.44 <br />ESTIMATED CREDIT ISSUED FROM WHOLESALER: 13035.20 <br />Total Items: 83 <br />ase contact ABBOTT (PPD) ® 800-255-5162 for credit details. <br />DEA <br />NDCNO CLASS <br />7214001496 <br />182044889 <br />2821501 <br />574006915 <br />574006915 <br />603009526 <br />677006901 <br />536181059 <br />74234401 R <br />74234401 R <br />6332328420 R <br />55513019001 R <br />75062430 R <br />75062430 R <br />52268070001 R <br />52268070001 R <br />87003931 R <br />87003147 R <br />469823412 R <br />469823412 R <br />781171601 R <br />781205401 R <br />5BI60085716 R <br />58160085716 R <br />173024256 R <br />5045830503 R <br />2300475 R <br />6011031 R <br />6007431 R <br />6095154 R <br />6157004710 R <br />378501010 R <br />4988473501 R <br />49342030 R <br />49342030 R <br />121067516 R <br />85123501 R <br />85127901 R <br />32449201 R <br />51079030120 R <br />5254477605 R <br />5254477501 R <br />PRICE <br />24.06 <br />24.96 <br />24.40 <br />1.10 <br />6.60 <br />2.88 <br />3.64 <br />7.49 <br />7.91 <br />7.91 <br />52.00 <br />2360.00 <br />163.37 <br />16.34 <br />8.00 <br />8.00 <br />51.19 <br />70.11 <br />32.75 <br />65.50 <br />24.97 <br />40.00 <br />7400.58 <br />3700.29 <br />27.65 <br />99.27 <br />75.73 <br />433.98 <br />144.66 <br />21.30 <br />121.22 <br />5614.12 <br />280.06 <br />101.64 <br />62.68 <br />12.50 <br />977.18 <br />410.18 <br />42.64 <br />32.00 <br />21.65 <br />1.50 <br />
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