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COMPLIANCE INFO_2011 - 2020
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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CALIFORNIA
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2626
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4500 - Medical Waste Program
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PR0536207
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COMPLIANCE INFO_2011 - 2020
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Entry Properties
Last modified
1/10/2023 9:04:51 AM
Creation date
7/3/2020 10:21:45 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2011 - 2020
RECORD_ID
PR0536207
PE
4530
FACILITY_ID
FA0020801
FACILITY_NAME
STOCKTON HEMATOLOGY ONCOLOGY MED GR
STREET_NUMBER
2626
Direction
N
STREET_NAME
CALIFORNIA
STREET_TYPE
ST
City
STOCKTON
Zip
95204
APN
12540011
CURRENT_STATUS
01
SITE_LOCATION
2626 N CALIFORNIA ST STE B
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4530_PR0536207_2626 N CALIFORNIA_.tif
Tags
EHD - Public
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M nueN Barnett Medical Services, Inc 510-429-9911 Ph Date: 04/2312013 <br /> 30620 San Antonio St 510-429-9914 Fax Manifest#: 32762 <br /> Hayward Ca 94544 Customer# 2232 <br /> EPA#CAL000331285 <br /> Transporter ID#4891 <br /> ierator: Contact: Sally Solank! WOrK:(209)4M.2526 <br /> Stockton "011Ylatolow-Onocolo(liv <br /> 2626 N California St,Ste#3 Frequency of Service weekly <br /> Stockton,CA 95204 <br /> Pricing $950 a mo. <br /> Er Transfer Facility: X Destination Facility: <br /> Barnett Medical Services,ine Alternate Transfer Facility o Destinatl n Facility a Alternate Destination Facility <br /> Barnett Medical Servlcesjnc <br /> HeaRhy4se Services Photo Waote Recycling Inc Healthcare Environmental <br /> 30620 San Antonio St 2385 Arch Rd#200 4800 E.Lincoln Ave 2980 KeMer Blvd#C 1420 401h St NW <br /> Hayward CA 94544 Stockton CA 95215 <br /> ter m)429-9911 (510)429-9911 Fowler CA 93625 San Rafac I CA 94901 Fargo ND 58102 <br /> Permit#TS-87 Permit#TSIOST.106 559-834-3333 (415)459-8807 (701)282-7373 <br /> Date ge �6- Permit#.F WR 122764 Permit#ITF-208 <br /> — Date- 0 13 <br /> Waste Collected: UN 3291 Regulated Medical Waste n.o.s.6.2 PG 11 <br /> Sharps Al Regulated Medical Waste Pharmaceutical Tmce ern eraRy <br /> LOW—MQ It <br /> Size Qty: Size Qty: Wt Size Qty: Wt: Size Qty: Wt <br /> Up to: 3 gal <br /> 2 gal 20 gal 8 gal <br /> 12 9�1 <br /> 4 gal 38 gal 1:4'D.— 9 gal 18g 1 <br /> 6 gal 40gal 12gal <br /> 8 gal 44 gal 18 gal 20ghl <br /> 38gal <br /> 12 gal Weight <br /> Size Qty Weight RLodud� <br /> o <br /> ..sight' -Qp� <br /> M Item# Description, Qt: <br /> Dental Waste-. <br /> Amalgam:Size Qty F)xe r:Size Qty Developer:Size Qty_ <br /> Lead:Size Qt <br /> Other:Size Qt <br /> Other:Type Size <br /> Qt__ <br /> Hours: M-Th 8:30-12:30 11:30-5.Fri 9:30-4--T <br /> Generator Certification: I herebyoertify that thecontents of this constrimentare fully and accura etvdesc"bed above by proper shipping name <br /> and are classifled,packed,marked,and labeled,and are In all aspects In p operconditton for transport according to <br /> applicable jp%ernment regulations. <br /> I furt herdedare that this sbfpm entof waste Is free haz rdo and mer rywaste defined by the US codeof federal <br /> re'riatio d/ roprIate state Fules a e ado <br /> u <br /> Generator(Customer) 2Z- 3 <br /> Name of authorized Signature Date <br /> Route Driver 13, <br /> Name of <br /> aut ed person(prh Q <br /> atureD t <br /> erdficate of Destructlo <br /> n �1 tf <br /> 41 <br /> Incineration Name of authorized person(pdnt) n tur Date <br /> Brett Espicha 3/25/2013 <br /> Certificate of Destruction <br /> -------------- <br /> Autodaved Name of a uthodzed person(print) Signature Date <br />
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