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EHD Program Facility Records by Street Name
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4500 - Medical Waste Program
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PR0506328
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COMPLIANCE INFO
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Last modified
2/23/2023 1:57:57 PM
Creation date
7/3/2020 10:22:30 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0506328
PE
4557
FACILITY_ID
FA0007349
FACILITY_NAME
GENTIVA HEALTH SERVICES
STREET_NUMBER
10100
STREET_NAME
TRINITY
STREET_TYPE
PKWY
City
STOCKTON
Zip
952197241
APN
06602027
CURRENT_STATUS
02
SITE_LOCATION
10100 TRINITY PKWY STE 450
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4557_PR0506328_10100 TRINITY_.tif
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EHD - Public
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2-10-2000 1121: 11GAM FROO <br /> UNDERGROUND TANK UNIT III <br /> 304 E WEBER ST FIFTH FLOOR <br /> STOCKTON CA 95202 • <br /> • <br /> SYLVIA HOLLINGSWORTH <br /> OFFICE ASSISTANT 11 <br /> (209) 468-3427 <br /> FAX: (209) 468-3433 <br /> r cloix <br /> To: Sarah Shaw From: SYLVIA HOLLINGSWORTH <br /> (209)468-3427, FAX,(209)468-3433 <br /> Fax: 913-814-1049 Pages.- -2- <br /> Phone; 80"77-22" Date, 02JI0100 <br /> Re: APPLICATION FOR A LIMITED QUANTITY HAULING EXEMPTION <br /> ❑Urgent 0 For Review ❑Please Comment 0 Please Reply ❑Please Recycle <br /> Coments: Please complete the application and return with$67.00 too. <br /> Thank you <br /> STATEMINT OF CONFIDIFINITIAUTY: The information in this facsimile is legally privileged and confidential information <br /> intended only for the use of the address"listed on this cover sheet. If the reader of this message is not the intended <br /> recipient,or the employe•or agent responsible to deliver it to the intended recipient,you are hereby notified that any <br /> dissemination,distribution or copying of this telecopy is strictly prohibited. If you have received this facsimile in error, <br /> please immediately notify us by telephone at the number listed on this clover sheet and return the original message tour <br /> at the above address via united states Postal Service. We Mil reimburse your costs in notifying us and returning the <br /> message to us. Thank You <br />
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