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EHD Program Facility Records by Street Name
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4500 - Medical Waste Program
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PR0505389
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COMPLIANCE INFO
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Entry Properties
Last modified
2/24/2023 4:52:00 PM
Creation date
7/3/2020 10:22:21 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0505389
PE
4557
FACILITY_ID
FA0006752
FACILITY_NAME
KING FAMILY HEALTH CENTER
STREET_NUMBER
2640
Direction
E
STREET_NAME
LAFAYETTE
STREET_TYPE
ST
City
STOCKTON
Zip
95205
CURRENT_STATUS
02
SITE_LOCATION
2640 E LAFAYETTE ST
P_LOCATION
01
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4557_PR0505389_2640 E LAFAYETTE_.tif
Tags
EHD - Public
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\551ON AC <br /> 1 A Regional Primary Health Care System Serving San Joaquin, Yolo, Solano and Calaveras Counties <br /> 2 <br /> FSS ' Corporate Office:701 E. Channel St. P.O. Box 779 • Stockton, CA 95201-0779 ° ° <br /> *If 209/944-4710 • Fax: 209/944-4796 www.communitymedicalcenter.corn � of <br /> ACEPd <br /> San Joaquin Public Health Services <br /> Environmental Health Division <br /> Medical Waste Management Program <br /> 304 East Weber Avenue, 3rd Floor <br /> Stockton, CA 95202 <br /> March 5, 2002 <br /> To: Kasey Foley <br /> Please add the following information to the application for Limited Quantity Hauling Exemption <br /> Form involving Woodbridge Medical Group (storage facility). <br /> Other employee names & titles authorized to transport the medical waste: <br /> Name Title <br /> 14. Randy Pinelli PA <br /> 15. Stephan Wicks, R.N., FNP <br /> 16. Tai Tran PA <br /> 17. Denise Rios M.A. <br /> Thank you, <br /> Terrie Mabalon, R.N. <br /> /tpm <br /> Channel Medical Dixon Family Esparto Family King Family Center San Andreas San Joaquin Tracy Family WIC Program Woodbridge Medical <br /> Center Practice Practice Health Clinic Family Practice Valley Dental Group Practice 425 N.Calif.St.,Ste-7 Group <br /> 701 E,Channel St. 131 West ASt,Ste-1 17050 S.Grafton St. 2640 E.Lafayette Street 265 W.St Charles St,St,3 290 N.California Street 730 North Central Ave. P.O.Box 779 2401 W.Turner Rd.,Ste,450 <br /> P.O.Box 779 P.O.Box 846 P.O.Box 134 P,0.Box 779 P.O.Box 1107 P.O.Box 779 Tracy,CA 953764104 Stockton,CA 95201-0779 Lodi,CA 952422185 <br /> Stockton,CA 952010779 Dixon,CA 956200846 Esparto,CA 95627-0134 Stockton,CA 95201-0779 San Andreas,CA 952491107 Stockton,CA 952010779 Tel:209/820-1500 Tel 209/8705000 Tel 209/368 2 212 <br /> Tel 209/944-4710 Tel 707 678-6227 Tel 530,7873454 Tel:209/953-4666 Tel:209:7551400 Tel:209.9407200 Fax 209/8201525 Fax 20978705020 Fax 209/368-0228 <br /> Fax 209/9444796 Fax 707 Fax 530,/787-4233 Fax 209/9534691 Fax 209 7551430 Fax,20979407255 trdoc@onemain.com cmcwic@onemain.corn ladac@onerrourcom <br /> cmcdoc@onemain.com dxdoc@onemaln.com dxdoc@onemain.corn cmcdoc@onemain.com sadoc@onemaln.corn dendoc@onemaln.com <br />
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