My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
Y
>
YOSEMITE
>
1650
>
4500 - Medical Waste Program
>
PR0536266
>
COMPLIANCE INFO
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
7/14/2025 3:28:42 PM
Creation date
7/3/2020 10:21:49 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0536266
PE
4530 - LG QUANITY GENERATOR
FACILITY_ID
FA0019462
FACILITY_NAME
YOSEMITE STREET DIALYSIS CENTER
STREET_NUMBER
1650
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95337
APN
22238016
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4530_PR0536266_1650 W YOSEMITE_.tif
Site Address
1650 2 W YOSEMITE AVE MANTECA 95337
Suite #
2
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
64
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
0 <br /> Registration Medical Waste <br /> For Generators of Medical Waste <br /> GENERATOR NAME: L �8Yaw& <br /> s2f-rzeef bk�ds <br /> Generator Facility Address: t <br /> Ci State Zip Code <br /> Phone Number: (� ) <br /> Generator Mailing Address: <br /> City State Zip Code <br /> Type of Business: Na-was Ebly c <br /> Authorized Representative: - w <br /> Title: <br /> Emergency Phone Number: ( ) <br /> REGISTRATION FOR: <br /> ❑ Small Quantity Generator with Onsite Treatment(Generates less than 200 lbs/month). <br /> Large Quantity Generator Only(Generates 200 lbs or more/month). <br /> ❑ Large Quantity Generator with Onsite Treatment(Generates 200 lbs or more/month). <br /> I declare under penalty of law that to the best of my knowledge and belief the statements made herein <br /> are correct and true. I hereby consent to all necessary inspections made pursuant to the California <br /> Medical Waste Management Act and incidental to the issuance of this registration and the operation <br /> of this business. <br /> Signature: '" Title• Date: <br /> I1 Il <br /> EHD 45-03 4 <br /> 10/6/2003 <br />
The URL can be used to link to this page
Your browser does not support the video tag.