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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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BENJAMIN HOLT
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555
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4500 - Medical Waste Program
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PR0519180
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COMPLIANCE INFO
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Entry Properties
Last modified
2/9/2023 4:03:29 PM
Creation date
7/3/2020 10:20:59 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0519180
PE
4530
FACILITY_ID
FA0010525
FACILITY_NAME
DELTA SIERRA DIALYSIS CNTR
STREET_NUMBER
555
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95207
APN
08126029
CURRENT_STATUS
02
SITE_LOCATION
555 W BENJAMIN HOLT DR STE 200
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4530_PR0519180_555 W BENJAMIN HOLT_.tif
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EHD - Public
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.f <br /> MEDICAL WASTE GENERATOR <br /> FILE COVER SHEET <br /> FACILITY ID#: FA0010525 P/E: 4530 DATE: 05/10/2011 <br /> ROGRAM RECORD#: PR0519180 P/E: DATE: <br /> P/E: DATE: <br /> ADDRESS: 555 W BENJAMIN HOLT DR 200 CITY: STOCKTON <br /> FACILITY NAME (DBA): DELTA SIERRA DIALYSIS CNTR <br /> FACILITY PHONE: (209) 473-2294 FACILITY FAX: <br /> FACILITY CONTACT: CHERYL AUWINGER,RN,QUALITY ADMINISTRATOR PHONE: (209)369-5418 <br /> OWNER NAME: TOTAL RENAL CARE INC CITY: TACOMA <br /> 1 OWNER ADDRESS: 1331 BROADWAY PLAZA 400 PHONE: <br /> Water Service: Large PWS Small PWS Domestic Well <br /> Sewer Service: ] Public Sewer OnSite WWTX OnSite Septic System <br /> Stormwater: Street Drains Street Ditches OnSite Ponds Other <br /> EH 00 18 rev 05/2007 <br /> rpt#: MWCS New Owner: Create a New Cover Sheet/Change Label of File <br />
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