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O's <br />FACILITY ID#: FA0013415 <br />PROGRAM RECORD #: <br />MEDICAL WASTE GENERMATOR <br />FILE COVER SHEET <br />PR0517415 <br />1617 N CALIFORNIA ST <br />P/E: 4540 DATE: 02/18/2009 <br />P/E: DATE: <br />P/E: DATE: <br />CITY: STOCKTON <br />FACILITY NAME (DBA): CALIFORNIA STREET MEDICAL BLDG <br />PC'ILITY PHONE: (209) 948-6435 FACILITY FAX: <br />FACILITY CONTACT: JOHN OPPER <br />OWNER NAME: UPPER, JOHN <br />ADDRESS: 40 JEWELL ST <br />Water Service: <br />❑ <br />Large PWS <br />Sewer Service: <br />❑ <br />Public Sewer <br />Stormwater: <br />❑ <br />Street Drains <br />PHONE: (415)459-0106 <br />CITY: SAN RAFAEL <br />PHONE: (415)459-0106 <br />Small PWS ❑ Domestic Well <br />1~H 00 18 rev 05/2007 <br />rpt i` : MWCS New Owner: Create a New Cover Sheet /Change Label of File <br />Onsite WWTX <br />❑ <br />OnSite Septic System <br />Street Ditches <br />❑ <br />OnSite Ponds ❑ Other <br />1~H 00 18 rev 05/2007 <br />rpt i` : MWCS New Owner: Create a New Cover Sheet /Change Label of File <br />