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MEDICAL WASTE GENERATOR <br /> FILE COVER SHEET <br /> FACILITY ID#: FA0019512 P/E: 4557 DATE: 12/23/2009 <br /> .PROGRAM RECORD#: PR0529375 P/E: DATE: <br /> P/E: DATE: <br /> ADDRESS: 1110 TULLY RD C CITY: MODESTO <br /> AGILITY NAME (DSA): INTERIM HEALTHCARE <br /> FACILITY PHONE: (209) 577-4625 200 FACILITY FAX: <br /> FACILITY CONTACT: RON MURPHY PHONE: <br /> OWNER NAME: SYNERGY HEALTH COMPANIES INC CITY: MODESTO <br /> OWNER ADDRESS: 1110 TULLY RD C PHONE: (209) 577-4625 200 <br /> Water Service: ❑ Large PWS ❑ Small PWS ❑ Domestic Well <br /> Sewer Service: ❑ Public Sewer ❑ OnSite WWTX ❑ OnSite Septic System <br /> Stormwater: ❑ Street Drains Q1 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 />