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MEDICAL WASTE GENERATOR <br /> FILE COVER SHEET <br /> FACILITY IDS: FA002311 P/E: 4530 DATE: 02/14/2019 <br /> PROGRAM RECORD#: PRO540777 P/E: DATE: <br /> P/E: DATE: <br /> ADDRESS: 601 N CALIFORNIA STREET CITY/ST: STOCKTON CA 95202 <br /> FACILITY NAME (DBA): DE YOUNG MEMORIAL CHAPEL <br /> FACILITY PHONE: (209) 466-8075 FACILITY FAX: <br /> FACILITY CONTACT: EMMAUEL DATU, EMBALMER PHONE:(209) 373-5547 <br /> MANAGER NAME: ALICIA CUNNINGHAM PHONE: (209) 466-8075 <br /> OWNER ADDRESS: CITY: <br /> Water Service: Large PWS Small PWS 101 Domestic Well <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 /> rpt#: MWCS New Owner: Create a New Cover Sheet/Change Label of Pile <br />