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rC !y PFa <br /> V A Regional Primary Health Care System Serving San Joaquin, Yolo, Solano and Calaveras Counties a� <br /> F Corporate Office:701 E. Channel St. • P.O. Box 779 • Stockton, CA 95201-0779 <br /> 209/944-4710 • Fax: 209/944-4796 www.communitymedicalcenter.com � <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 /> December 10, 2001 <br /> To: Kasey Foley <br /> Please add the following information to the application for Limited Quantity Hauling Exemption <br /> Form involving Channel Medical Center (storage facility): <br /> Other Medical Office/Business : Address Telephone <br /> 1. Delta Health Care WIC 4662 Precissi Lane 472-7093 <br /> Stockton, CA 95207 <br /> 2. El Dorado Healthy Start 1540 North Lincoln Street 953-4885 <br /> Stockton, CA 95204-5617 <br /> 3. Health Fairs Health.Fair --- <br /> Other employee names &titles authorized to transport the medical waste: <br /> Name Title <br /> 4. Terrie Mabalon Registered Nurse <br /> 5. Martha Covarruvias Receptionist <br /> 6. Gloria Ulloa Receptionist <br /> 7. Virginia Valdez Registered Nurse/ Children's Immunization Prog. <br /> 8. Janet Olstad Registered Nurse <br /> 9. Virginia Segura Medical Assistant <br /> 10. Lourdes Gomez Medical Assistant <br /> 11. Angie Carlos Medical Assistant <br /> Thank you, <br /> 7C " <br /> Terrie Mabalon, R.N. <br /> /tpm <br /> Channel Medical Dixon Family Esparto Fatally 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.Coff.St,Ste,7 Group <br /> 701 E.Charnel St 131 West A St.,Ste.l 17050 S.Grafton St. 2640 E.Lafayette Street 265 W.St Charles St.,Ste.3 230 N.California Street 730 North Central Ace. P.O.Box 119 2401 W.Turner Rc.,i:e.450 <br /> P.O.Box 779 P.O.Box 846 P.O.Bac 134 P.O.Box 779 P.O.Box 1107 P.O.Box 779 Tracy,CA 95376-4104 Stockton,CA 95201-0779 Lodi,CA 95242:'F 5 <br /> Stockton,CA 95.01-0779 Dixon,CA 95620-0846 Esparto,CA 95627-0134 Stockton,CA 95201-0779 San Andreas,CA 95249-1107 Stockton,CA 95201-0779 Tel:209'8241500 Tel:209,1870-5000 Tel 209 368-2_ <br /> Tel:209,'944-1710 Tel:707/67&6227 Tel:530/787-3454 Tel 209/953-4666 Tel:209/755-1400 Tel:209/940-7200 Fac 209/820-1525 Fm:209/8145020 Fac 2C9 368L__- <br /> , <br /> Fax:209/941-4796 Fax:707/678-5017 Fax:530/787-4233 Fax:209/953-4691 Fac 209/7551430 Fax:209/9447255 trdoc@onemam.com cmnvic@onemain.com lodoccacrem­e c- <br /> cmcdoc@one- acom dxdoc@onemain.cam dxdoc@onemain.com cmcdoc@onemain.com sadoc@onemain.com dendoc@onemain.com <br />