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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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K
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KETTLEMAN
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1110
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4500 - Medical Waste Program
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PR0537019
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COMPLIANCE INFO
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Entry Properties
Last modified
7/11/2025 3:58:27 PM
Creation date
7/3/2020 10:22:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0537019
PE
4532 - SM QUANITY GENERATOR
FACILITY_ID
FA0021255
FACILITY_NAME
BELLA TERRA DENTAL
STREET_NUMBER
1110
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06037003
CURRENT_STATUS
Inactive, non-billable
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4532_PR0537019_1110 W KETTLEMAN_.tif
Site Address
1110 W KETTLEMAN LN LODI 95240
Tags
EHD - Public
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• <br /> SharpsTRACER Manifest it Report <br /> Report Generated on Tuesday,May 15,2012 @ 5:34:20 PM <br /> Issue Date: 05/01/2012 <br /> I[ertBy y1Ktlw fMtMY of tl8s mMOMr <br /> Ship Date: t—� ""A4""dam <br /> aInPu w� „"08FiatO fv'rro%damreyuso m. <br /> Received Date: 05/01/2012 M�` <br /> The-1kW h-Wh—.W.—wm,ss roc LIN <br /> Treated Date: 05/01/2012 T—W174 <br /> w1A <br /> O*h I sv S1MZU824:2611 PM-RC <br /> @nUh 1.2613x-Cyd.2611 <br /> Vold Date: MeghmW" <br /> SHARPS. <br /> ............ <br /> -~ _ <br /> camv,iPnrr,mr, � <br /> zeAw®y"R"co"sry$ <br /> Manifest Details gggg <br /> m�l� <br /> Serial Number: 3705863 <br /> 2 dty Dr.Ste.ll— 5C"' arm <br /> Description: 5 Gallon UPS TakeAway 1us1 n 3 M54 — <br /> Recovery System r "°°� <br /> rpb.ep..ranpe.irwa"pam <br /> Bar Code: 634188850005 <br /> roatea+vteremerawn<aeapeav+cee rM�1ranp>/rr <br /> Client Name: Bella Terra Dental <br /> pin.p nip pa PPPepMF,en«.m"m. dd.�. <br /> s..wevPee+e.rb.wwe..upde<aa",¢am.� <br /> Status: TREATED <br /> r,.en,ww,Pr®rx�Prdl� r an�7pP,w.mpe" <br /> PAYO WmK <br /> Model ID: 85000 +�rN <br /> ewT .T 78017 CW ReoeNer: <br /> Receive Weight: 13.85 <br /> "Mm4m,W cw k YeM,pose Mrynw <br /> TOF1,]I,TAtl RYpD aYNmlt slpeeMpONbPPIgb <br /> pC4KR61�W9DtlN�1 AOJ116U�fOMP9E 0RlJ'JIJ�E. <br /> Generator Information <br /> x+a.yiv�+0erva Oy"., P.n nowniwo <br /> ID: <br /> Name: <br /> Address: <br /> City: <br /> State: <br /> ZIP: 70000 <br /> Sharps Compliance, Inc. 9220 Kirby Drive Houston,TX 77054 <br /> Phone(713)432-0300 (800)772-5657 Fax(713)838-0508 <br />
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