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COMPLIANCE INFO_2004-2020
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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B
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BEVERLY
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425
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4500 - Medical Waste Program
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PR0522690
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COMPLIANCE INFO_2004-2020
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Last modified
4/12/2024 11:20:32 AM
Creation date
7/3/2020 10:21:04 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2004-2020
RECORD_ID
PR0522690
PE
4530
FACILITY_ID
FA0010846
FACILITY_NAME
DAVITA TRACY DIALYSIS
STREET_NUMBER
425
Direction
W
STREET_NAME
BEVERLY
STREET_TYPE
PL
City
TRACY
Zip
95376
APN
23307526
CURRENT_STATUS
01
SITE_LOCATION
425 W BEVERLY PL STE A
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4530_PR0522690_425 W BEVERLY_.tif
Tags
EHD - Public
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OFFICE CONSULTATIO S AND ASSISTANCE Page 1 of I <br /> c <br /> COUNTY OF SAN JOAQUI <br /> OFFICE OF EMERGENCY SERVICES <br /> "_1: , ROOM 610, COURTHOUSE RE' <br /> • 222 EAST WEBER AVENUE <br /> STOCKTON, CALIFORNIA 95202 JUL <br /> TELEPHONE (209) 468-3962 V►RL <br /> HAZARDOUS MATERIALS DIVISION ER%- <br /> (209) 468-3969 <br /> E-mail: sjcoes@co.san-joaqui_n.ca.,us <br /> HAZARDOUS_MATERIALS MANAGEMENT_PLAN/INVENTORY <br /> CERTIFICATION STATEMENT <br /> For <br /> GAMBRO HEALTHCARE (TRACY) <br /> The above named business certifies that the Business Owner/Operator Identification <br /> Page, Hazardous Materials Management Plan, Chemical Description Page(s), and Facility <br /> Map(s) submitted pursuant to Chapter 6.95 of the California Health and Safety Code <br /> are accurate and correct. The above named business further certifies that all hazardous <br /> materials handled in quantities of 55 gallons, 500 pounds, or 200 cubic feet or greater, <br /> unless otherwise exempted by San Joaquin County, are included in the submitted <br /> inventory. This business acknowledges making this certification by checking the box <br /> below labeled "Annual Certification" and submitting this statement to the Office of <br /> Emergency Services. The owner and operators of this business understand that <br /> failure to have accurate information on file with the Office of Emergency <br /> Services may make my company liable in an emergency. <br /> Your Certification has been recorded. <br /> Thank you. <br /> NOTE: Be sure that the business e-mail address on file with our office is accurate. <br /> Main Menu Logoff <br /> http://www.sjoesdata.org/oes_cert_confirm.lasso 6/8/2004 <br />
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