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MEDICAL WASTE GENERATOR <br /> FILE COVER SHEET <br /> FACILITY ID#: FA0010709 P/E: 4557 DATE: 10/15/2009 <br /> PROGRAM RECORD#: PR0530937 P/E: DATE: <br /> P/E: DATE: <br /> DRESS: 1305 E VINE ST CITY: LODI <br /> FACILITY NAME (DBA): LODI UNIFIED SCHOOL DISTRICT <br /> ACILITY PHONE: (209) 331-7075 FACILITY FAX: <br /> CILITY CONTACT: LYNN VANOTTI (SCHOOL NURSE) PHONE: <br /> OWNER NAME: LODI UNIFIED SCHOOL DISTRICT CITY: LODI <br /> OWNER ADDRESS: 1305 E VINE ST PHONE: <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 /> a <br /> EH 00 18 rev 05/2007 <br /> rpt#: MWCS New Owner: Create a New Cover Sheet/Change Label of File <br />