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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
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4530_PR0522691_1156 S MAIN_.tif
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EHD - Public
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;ent by: GAMBRO 9498315035; 06/11 /2005 4:39AM; #686; Page 20/24 <br /> Steri Cie, Inc. <br /> 13977poib Trail Ur. Suite 201 INVOICE DATE 10/31J2004 <br /> 'S G!'fCyGle,, Lake Forest: it 60045 INVotCZ NUMBER 0)003026688 <br /> CUzTot LR NUMBEF� 60181G0 <br /> x In I�rseaam caste a1 eamtµ cg rn Con +tip INVOICE AMOUNT DUE <br /> BY 11/30/2004 $589.64 <br /> POR CUSTOMER SeRVICt t5&9.64 <br /> STERI-GALL CURRENT <br /> GAMBRA HEALTH CARE 8806-783.7422 1-30 DAYS $0.00 <br /> LAURA SIMPSC)N 31.60 DAYS $0.00 <br /> 15253 SAKE PKWYI'ON iCK40INFORMA'110N $0.00 <br /> IRVINE,CA 92618-2502 8 DMASTE 61.90 DAYS <br /> wpww RC2 <br /> .833-€9278 Q�t/E -DAYSt',12, on <br /> 31111-U742.1 DIOL13TAS003572 <br /> MANIFEST/ QUANTITYr WEivrn PRICE TOTAL <br /> V ATE ORDER NUMBER CONTAMERS DESCRIPPON .._ <br /> IWM2004 MDFR001UPV 1..00 Record Rewntion Fee 0.00 ix $5.250 R.A <br /> iot25raO04 mofRoo1UPV 1.00 Minimum Pick-up Fee 0.00 Le $12.310 VIA Sia.:s1 <br /> 10125/2004 MDFR001UPV 3.00 44 Gel TUb(Sio).CT 12,7!b 116.20 LB $0,47a LD $54-61 <br /> 907128120304 UDFROOIV31 2.00 AocordRetention Fee o,00 LB $5.250 EA $5.25 <br /> 10/2872004 mDrR001V3€ 2.00 Mwanum Pick-up Fee o,00 L9 $27.050 EA $27-0f+ <br /> 10128/2004 MDFR001V31 2.00 44 Gel TUbI`6i6y CT 12.7 lb 84:90 LS $0.470 LB 5',19,86 <br /> S;f*0}2,SUB TOTAL <br /> Sit*oo2`TAX rOZAL <br /> site 602: TOTAL 5589.64 <br /> INVOICE AMOUNr DUE BY 1113W2004 $589.64 <br /> 39 i a t.U7d2`iDSOL8TA9s703622 1bIt7L9VN4 k.8 <br /> Isola <br />
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