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MEDICAL WASTE GENERATOR <br /> FILE COVER SHEET <br /> FACILITY ID#: FA0021255 P/E: 4532 DATE: 05/15/2012 <br /> ROGRAM RECORD#: PR0537019 P/E: DATE: <br /> P/E: DATE: <br /> ADDRESS: 1110 W KETTLEMAN LN CITY: LODI <br /> FACILITY NAME (DBA): BELLA TERRA DENTAL <br /> ACILITY PHONE: (209)224-8104 FACILITY FAX: <br /> ACILITY CONTACT: OUAN NGUYEN PHONE: (209)224-8104 <br /> OWNER NAME: OUAN NGUYEN CITY: STOCKTON <br /> OWNER ADDRESS: 702 PORTER AVE#F, STOCKTON PHONE: (209) 224-8104 <br /> Water Service: Ift Large PWS Small PWS Domestic Well <br /> Sewer Service: Ift Public Sewer OnSite WWTX OnSite Septic System <br /> Stormwater: In Street Drains Street Ditches OnSite Ponds Q Other <br /> EH 00 18 rev 05/2007 <br /> rpt# MWCS New Owner: Create a New Cover Sheet/Change Label of File <br />