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.� pr �► '! <br /> � 05taNqCI <br /> ��� <br /> Gp <br /> A Regional Primary Health Care System Serving San Joaquin, Yolo, Solano and Calazeras Counties <br /> 2 v <br /> C?i orporae . . . . , �O <br /> z <br /> �� �� ,•,a� '�� 209/944-4710 • Fax: 209/944-4796 • wvvw.communitymedicalcenter.com �� Qa <br /> PGgt77-Y p15,S�?�� <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 /> 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 A St.,Ste.1 17050 S.Grafton St. 2640 E.Lafayette Street 265 W.St Charles St.,Ste.3 230 N.California Street 730 North Central Ave. P.O.Bax 779 2401 W.Turner 8d.,Ste 450 <br /> P.O.Box 779 P.O.Box 846 P.O.Box 134 P.O.Box 779 P.O.Bax 1107 P.O.Bax 779 Tracy,CA 95376-4104 Stockton,CA 952010779 Lodi,CA 95242-2185 <br /> Stockton,CA 952010779 Dixon,CA 956200846 blaorto,CA 95627-0134 Stockton,CA 952010779 San Andreas,CA 95249-1107 Stockton,CA 95201-0779 Tei:209/8201500 Tel:209,7 8105000 Tel:209`3682212 <br /> Tel:209/9444710 Tel:707/6786227 Tel:530,1787-3454 Tel:209,7953d666 Tel:2091"755-1400 Tel:209/9407200 Fac 209/8201525 Fac 209/8705020 . Fax:209,3680228 <br /> Fax:2091"9444796 Fax:707/678-5011 Fac 530/78]-4233 Fac 209%953-4691 Fax:209/JSS1430 fax:209/9407255 trdoc@^.nemmacom cmcwic@onemain.com iodoc@onemaiacom <br /> cmcdoct0aner,om com dxdoc@onemain.com dxdoc®onemain.com cmcdoc@onemain.com sadoc®onemain.com dendocGonemaio.com <br />