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a , ,,s55VON Ac ,t <br /> 5 <br /> a A ;regional Primarykealtb Care System Serving San Joaquin, Yolo, Solaro alaveras counties o Z <br /> Corporate office:701 E. Channel St. • P.O. Box 779 • Stockton, CA 95201-0779 o <br /> � 209/944-4710 • Fax: 209/944-4796 www.communitymedicalcenter.com E - <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 /> Address Telephone <br /> Other Medical Office/ Business 1 4662 Precissi Lane 472-7093 <br /> 1. Delta Health Care WIC Stockton, CA 95207 <br /> 1540 North Lincoln Street 953-4885 <br /> 2. El Dorado Healthy Start Stockton, CA 95204-5617 <br /> Health Fair - <br /> 3. Health Fairs _ <br /> Other employee names & titles authorized to transport the medical waste: <br /> Title <br /> Name Registered Nurse <br /> 4. Terrie Mabalon Receptionist <br /> 5. Martha Covarruvias Receptionist <br /> 6. Gloria Ulloa Registered Nurse/ Children's Immunization Prog. <br /> 7. Virginia Valdez Registered Nurse <br /> g. Janet Olstad Medical Assistant <br /> 9. Virginia Segura Medical Assistant <br /> 10. Lourdes Gomez Medical'Assistant <br /> 11. Angie Carlos <br /> Thank you, <br /> Terrie Mabalon, R.N. <br /> /tpm <br /> Woodhri Medical <br /> --- San Joaquin Ttaey Family wtc program (;.,up <br /> � <br /> -- ---- King Family Censer San AnJreas Practice 425 N.Cold St..Ste] P <br /> Dison Family Esparto Fmnily Family Practice Vaflcy Dema!Group Pp.go,770 '40!:r iu:ne,Nd.Ste iX? <br /> Channai ftedical Practice Health Clinic 730 North Central Avz. <br /> rYnter Practice 265 VdA ChoAes St.Ste.3 ?30NCoAforma Streel d.v19i 2!3i <br /> 47050 S.Grafton 5t 7640 E.lalayette S!rzet P.O.Ba.n07 P0.Bo.779 Tracy.CA 953764!04 Swct Tel <br /> CA 9520107 79 3! 00 3n <br /> D!tt4stAX..ve! a Tel 209'820!500 ie1.209'8705(XX1 <br /> PD.Box?id PO Bo,179 _ <br /> op 6o+846 SanAndreos.CA 95249 1401 Stockton.CA 9520407. Pos.209.:8201525 Pas:209'B70S020 le'09 0e <br /> CA 956200846 E>pano,CA 956270134 Stockton CA 9S..OiLi79 Tel ?09 )SS Ia00 Tel 209;9407200 dxn'cne cin cera <br /> Tel 707 67136.27 <br /> Tet 530 7873454 Tel 209 953-4666 Eoc 209'7551430 Po::209.'9407255 HmPonema�acam C.Cw,CPoneman cora <br /> _ _.y :a,-,7 o'Bb017 ia+.530,x787-0233 Fa.209s9534691 sadoca`onemain cam dendoc6oneman cora <br /> ,_ _ i+dacmone�.o^cam d,dOCPonemnln cam Cncdoc+r0nem11m Com - <br />