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s <br />MEDICAL WASTE GENERATOR <br />FILE COVER SHEET <br />FACILITY ID#: FA0025317 <br />PROGRAM RECORD #: PR0544530 <br />P/E: 4530 <br />P/E: <br />P/E: <br />F <br />ADDRESS: 850 S GUILD AVENUE CITY: LODI <br />EACILITY NAME (DBA): OMNICARE OF NORTHERN CALIFORNIA #45214 <br />ACILITY PHONE: (209) 333-4900 <br />FACMITY FAX.- <br />FACILITY <br />AX: <br />DATE: 6//5//2019 <br />DATE: <br />DATE: <br />FACILITY CONTACT: SHELLY MORRIS, BACK END (MANAGER PHONE: (209) 366-6M .- 61596 <br />OWNER NAME: EVERGREEN PHARMACEUTICAL OF CALIFORNIA CITYWATE: WOOiNrSOCKET. RI <br />OWNER ADDRESS: ONE CVS DR MC 2340, WOONSOCKET. RD PHONE. (401) 770-40" <br />Water Service: <br />Large <br />PWS <br />Sewer Service: <br />[� <br />Public <br />Sewer <br />Stormwater: <br />(� <br />Street <br />Drains <br />Small PWS [P] Domestic Well <br />Onsite WW'I"X [ij] Onsite septic system <br />Street Ditches [j]] OnSite Ponds qn Other <br />00 18 rev 05/2007 <br />4: MWCS New Owner: C� ���aw C � //6l�anm�eIL�Ih�➢m�fl�ull� <br />