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MEDICAL WASTE GENERATOR <br /> FILE COVER SHEET <br /> FACILITY ID#: FA0020415 P/E: 4557 DATE: 06/25/2010 <br /> ROGRAM RECORD#: PR0535402 P/E: DATE: <br /> P/E: DATE: <br /> ADDRESS: 2880 SUNRISE BLVD 218 CITY: RANCHO CORDOVA <br /> FACILITY NAME (DBA): ACCENTCARE HOME HEALTH OF CA <br /> FACILITY PHONE: (916) 852-5888 FACILITY FAX: <br /> FACILITY CONTACT: DEBRA HENRY.RN PHONE: <br /> OWNER NAME: ACCENTCARE HOME HEALTH OF 0 CITY: RANCHO CORDOVA <br /> OWNER ADDRESS: 2880 SUNRISE BLVD 218 PHONE: (916) 852-5888 <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 />