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MEDICAL WASTE GENERATOR <br /> FILE COVER SHEET <br /> ACILITY ID#: FA0019666 P/E: 4530 DATE: <br /> PROGRAM RECORD#: PR0536171 P/E: DATE: <br /> P/E: DATE: <br /> ADDRESS: 1523 E MARCH LN 200 CITY: STOCKTON <br /> ACILITY NAME (DBA): DAVITA STOCKTON KIDNEY CENTER <br /> CILITY PHONE: (209) 472-3300 FACILITY FAX: <br /> FACILITY CONTACT: ACCOUNTS PAYABLE PHONE: <br /> NER NAME: DAVITA INC CITY: TACOMA <br /> NER ADDRESS: 1423 PACIFIC AVE PHONE: (209) 472-3300 <br /> Water Service: Ij Large PWS ❑ Small PWS Domestic Well <br /> Sewer Service: ❑ Public Sewer ❑ OnSite WWTX ❑ OnSite Septic System <br /> Stormwater: Q1 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 />