Laserfiche WebLink
Registration for Medical Waste <br /> For Generators of Medical Waste <br /> GENERATOR NAME: DELTA BLOOD BANK <br /> Generator Facility Address: 2888 West March Lane <br /> Stockton California 95219 <br /> City State Zip Code <br /> Phone Number: ( 209 ) 943-3830 x600 <br /> Generator Mailing Address: P.O. Box 800 <br /> Stockton California 95201 <br /> City State Zip Code <br /> Type of Business: Blood Collection Center <br /> Authorized Representative: Elayda H. Podesta <br /> Title: Compliance Officer <br /> Emergency Phone Number: ( 209 ) 466-9781 <br /> REGISTRATION FOR: <br /> ❑ Small Quantity Generator with Onsite Treatment (Generates less than 200 lbs/month). <br /> ® Large Quantity Generator Only (Generates 200 lbs or more/month). <br /> ❑ Large Quantity- Generator with Onsite Treatment (Generates 200 lbs or more/month). <br /> I declare under penalty- of law that to the best of my knowledge and belief the statements made herein <br /> are correct and true. I hereby consent to all necessary- inspections made pursuant to the California <br /> Medical Waste Management Act and incidental to the issuance of this registration and the operation <br /> of this business. <br /> s <br /> Signature: jj _ Title: ccDate: <br /> cFvICcY <br /> EHD-h-03 <br /> 2015 4 <br />