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MEDICAL WASTE GENERATOR <br /> FILE COVER SHEET <br /> FACILITY ID#: FA0023636 P/E: 4530 DATE: 09/12/2016 <br /> PROGRAM RECORD#: PR0541254 P/E: DATE: <br /> P/E: DATE: <br /> ADDRESS: 1620 W YOSEMITE AVE CITY/ST: MANTECA, CA 95337 <br /> FACILITY NAME (DBA): MANTECA DIALYSIS <br /> FACILITY PHONE: (209) 825-3905 FACILITY FAX: <br /> ACILITY CONTACT: AMY TRONOLONE PHONE:(209) 735-6383 <br /> OWNER NAME: DVA HEALTHCARE RENAL CARE INC CITY: BRENTWOOD,TN 37027 <br /> OWNER ADDRESS: 5200 VIRGINIA WAY PHONE: ((209) 825-3905 <br /> Water Service: Large PWS Small PWS Domestic Well <br /> r. <br /> Sewer Service: (� Public Sewer OnSite WWTX OnSite Septic System <br /> Stormwater: Street Drains Street Ditches ] OnSite Ponds Other <br /> EH 00 18 rev 05/2007 <br /> t <br /> #: MWCS New Owner: Create a New Cover Sheet/Change Label of File <br />