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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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A Regional Primary Hea[tb Care System Serving San Joaquin, Yolo, Solalao and Calaveras Counties � 9 <br /> � 2 <br /> S ;i�!:ZR 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 /> pI <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 21, 2001 <br /> To: PHS <br /> Attached are 2 Application for Limited Quantity Hauling Exemption forms. As discussed with <br /> Kasey Foley on 12/10/01, I am sending only 2 applications for the medical waste storage <br /> facilities involving Channel Medical Center(Stockton) and Woodbridge Medical Center(Lodi) <br /> and attaching additional information to complete the applications. <br /> On 12/17/01, I clarified with Nora from the business office that the 2 applications and 2 invoices <br /> will be returned to PHS, i.e., invoice IN0088966 (Lodi site) and invoice # IN0088947 (Stockton <br /> sites). I am not returning invoice#IN0088948 since the King Family Center, will now be <br /> included as 1 of the 4 sites transporting their medical waste to the Channel Medical Clinic <br /> (Stockton) storage facility. <br /> Thank you. <br /> J�� <br /> Terrie Mabalon, R.N. <br /> Channel Medical Dixon Family Esparta Family King Family Center San Andreas San Joaquin Tracy Family W[C Program Woodbridge Medical <br /> Center Practice Practice Health Clinic Family Practice galley Dental Group Practice 425 N.Calif.St.,Ste.7 Group <br /> 701 E.Channel St. 131 WestA St,Ste.1 17050 S.Grafton Sc 2640 E.Lofcyere Street 265 W St.Charles St.,Ste.3 230 N.California Street 730 North Central Ave. P.O.Bax 779 2401 W.T,xrer%a..Ste.450 <br /> P.O.Bax 779 P.O.Bax 846 P.O.Box 134 P.O.Box 779 P.O.Box 1107 P.O.Box 779 Tracy,CA 95376-4104 Stockton,CA 952010779 Lodi,CA 95.-2 <br /> Stockton,CB 95201-0719 Dixon,CA 956204846 Es arto,CA 95627013-4 a San Andreas,CA 95249-1107 Stockton,CA 95201-0779 Tel:209/820-1500 Tel:209/8705000 Tel:209 358:212 <br /> P Stockton,CA 95201-0779 Fax 209 3 4228 <br /> Tel 209,944-4710 Tel:707/678-6227 Tel-530/7873454 Tel:209/9534666 Tel:209/755-1400 Tel:209/9407200 fax:209/8241525 fax 209/8145020 <br /> Fac 209,94"7 96 Fos 707 678-5017 Fax:530,/7874233 Fax:209/755-1430 Fax 209/94G7255 trdoc®onemain.com cmewlc@onemain.com lodoc�an ^-c^--m <br /> / Fax:209/9534691 <br /> cmcdoc@onemain.com dxdoc@anemain.com dxdoc®onemoln.com cmcdoc@onemdn.com sadocPonemain.com dendoc®onemain.com <br />
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