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MEDICAL WASTE GENERATOR <br /> FILE COVER SHEET <br /> ACILITY ID#: FA0012729 P/E: 4557 DATE: 02/25/2009 <br /> PROGRAM RECORD#: PR0516665 PSE: DATE: <br /> P/E: DATE: <br /> ADDRESS: 1610 N EL DORADO ST 16 CITY: STOCKTON <br /> FACILITY NAME (DBA): SAN JOAOUIN KIDNEY CLINIC INC <br /> FACILITY PHONE: (209) 546-1868 FACILITY FAX: <br /> FACILITY CONTACT: SAGIREDDY, P B MD PHONE: <br /> OWNER NAME: SAGIREDDY, P B MD CITY: STOCKTON <br /> OWNER ADDRESS: 1610 N ELDORADO ST 16 PHONE: (209) 546-1868 <br /> Water Service: ❑ Large PWS ❑ Small PWS ❑ Domestic Well <br /> Sewer Service: ❑ Public Sewer ❑ OnSite WWTX ❑ OnSite Septic System <br /> Stormwater: ❑ Street Drains ❑ Street Ditches ❑ OnSite Ponds ❑ Other <br /> EH 00 18 rev 05/2007 <br /> rpt#: MWCS New Owner: Create a New Cover Sheet/Change Label of File <br />