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EHD Program Facility Records by Street Name
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4500 - Medical Waste Program
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PR0522691
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COMPLIANCE INFO
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Entry Properties
Last modified
2/23/2023 10:14:33 AM
Creation date
7/3/2020 10:21:07 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0522691
PE
4530
FACILITY_ID
FA0013665
FACILITY_NAME
DAVITA MANTECA DIALYSIS CENTER
STREET_NUMBER
1156
Direction
S
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
222-380-080-300
CURRENT_STATUS
02
SITE_LOCATION
1156 S MAIN ST
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
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SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4530_PR0522691_1156 S MAIN_.tif
Tags
EHD - Public
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ent by: GA10BRO 9498315035; 06/11 /2005 4:38AM; #686; Page 15/24 <br /> St <br /> • <br /> r - �tericyycle' Inc. <br /> @r C�/Cie '13975 P0b Trail�!r <br /> Ll ke f crrest; IL 60046Suite 281 <br /> INVOICE DATE <br /> in r cal,eot#mt I+a,Iy,e,,,c INVOICE NU <br /> aavvt�sr <br /> CUSTOMER t upmej2 <br /> GAMBRO HEALTH CARE 'W010E AMOUNT iNJL, <br /> LAURA SIMPSON FOR CIiBTO ER SERVICEBy 09/30/2004 <br /> 176 COLUMBIA see-$3TERI-CALL i SB68t <br /> ALISO VlEJp CA 92665-1458 't33:y�zz CURRENT' <br /> FOR PICKUP t 1'3o DAYS <br /> N ORMATtCN 31-60 DAYS so. <br /> 800.WD.WASTE 137,90 DAYS S0. <br /> 1GHARAST CERTIFICATE: X278 $0. <br /> is an the cwvr Thi Js bu aerttty tt�tdge fa ,vy _QVER B.81t12$ <br /> rceta,end who♦g a reoogniz ades31111-U742"78T'OTOFY0003,9 _SQA <br /> CmNfarnre Business n f of ec coCO�Ywas wer,l;, <br /> ntl�jt?rDfeas+ans Cade,edmWljstarad b Cy.as pro VMS fid,r*teasurec9.Or counted <br /> i� ,9 �,�. Y the Division of Y+Chaps`7 fcomrnancing with S by®vve`Ornester.whas <br /> esUreanent 9te�der section 12?003 0f Dlm4&n 5 of tho a 4rgneture <br /> // ds of tha CeliCexnie D® <br /> 67®rtrroant of Food and AgricuitU v. <br /> SEPIS ZM <br /> reguis IFICATION, 4,w#9 i 1 <br /> T he th8terrei E-j <br /> AsW an the regufatiWts goVemi++9 tha treatrnant of s r"srsd6ssP#fa}d yea bebw(irsfsctkzua -.L <br /> uch weste A copy Of this l waste <br /> DATE 1AANIFEaT/ to,eble )hes been b'setad in accordance MOLIR kuMdER a c�t►AkvrpYi and thea wlth mquwsrraants --� <br /> CWTAIpEPttx �opriate logs will r$tnain on file of erei,atets,and►acyl <br /> 31M tDps. ® DEeCIRtpTy�;� with the company. <br /> Mtbra Health Core,1156$Main$t Pot/Wrt�pryp <br /> C MrYrbdityIWt l l wElGrFx <br /> tate;1 tralgh qt$t M°n OtC73d. pktCE <br /> 810:>) *rMy**Ina~,4130Ws xorgL <br /> 08J02�(y04 MDFR007KTD tt+aVe, 'eo+►n. S. <br /> }" - <br /> k4DFR{DOtKTD 1.00 Record Retention Fee grrYShaln,bepiltr Krell h <br /> 05102/2004 1.00 t7 rr+eafor <br /> 2044 M0rR001KM Mk*nurn Pick-up Fee 0.00 Lp <br /> Mt7FROOILBU 2.00 44 Dal T $5.250 F.A <br /> 0612004 1.00 ubC01a3,CT 1P.7�s 0.00 �,g <br /> MDFROo7LOU Rid Retalttfon Fee 10 0- 0 La 16,-120 EF <br /> 0avo4 1.00 $o.470 1g $16.72 <br /> MOFR061LSU Pick-up Fee 0.00 LH $50.20 <br /> oftq MDFRWILr7 a.oo �44 Qat T�'t3fo};CT 12.7 ib � $5.250 75.25 <br /> /zb04 0.o 0 <br /> morn 7 1'OQ Re�dROWntionF 305.30 517.430 XA S17.43 <br /> o8I12/70p4 00 Lf) 3.00 <br /> MDFRo07M 44 Gal Tub(8{o T o.Do $0.4')0 1,g <br /> OS/12J2()Oq '�- 1,oa ) C iz.7� � $s,zso $49.49 <br /> 08/16/2004 MDFROOIMDL Record nilo,Fee 200.20 $5.25 <br /> MDFR001MSU .o0 44 Gal Tub�Bto).CT 1 7 $0.970 LB <br /> U911 �. Ib D,oa L8 $94,os <br /> MDFROOIMBU 1.00 Recon POW $5:25o EA <br /> 08118th Fee 355.20 LB 55.25 <br /> MDFR009M8U 1•DO "nirn-Pick-up Fbe $0.470 LE 0a9/1gt2p0,.i - 2.00 0.00 L8 $72.96 <br /> 0 91/2tX>s MDFRQ07M70 44 Gal CT72;ytb 0.00 Zg $5.250 FA <br /> 3.00 R $29.950 $5.25 <br /> , ? MaFR001MZ0 ecoid Retention Fee e9.30 Le <br /> MDFR001NSo 3-04 44 Cyt Tuts Sja},CT i .7 $0,4.1() L8 $24,9S <br /> 1.00 2 ib 0.Q0 7.8 541.97 <br /> RecordRefentitihFeg 105.70 L8 $5.250 8A <br /> $0.490 Z.H 55.25 <br /> a+a✓AeChcYArtanatraocrargAl <br /> 0,00 7H $68.46 <br /> rrrtY n 55.250 EA <br /> BA Clrlr7'YI/tiAt sxrrrua vr�l to aA $S.25 <br /> w+¢CA/Y tAr TSG cArnt fSit.`Cr'1 C^AI1»=1 ilbC <br />
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