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MEDICAL WASTE GENERATOR <br /> FILE COVER SHEET <br /> ACILITY ID#: FA0018769 P/E: 4557 DATE: 02/15/2011 <br /> PROGRAM RECORD#: PR0536054 PSE: DATE: <br /> PIE: DATE: <br /> ADDRESS: 7850 WEST LN CITY: STOCKTON <br /> CILITY NAME (DBA): WALGREENS#10482 <br /> FACILITY PHONE: FACILITY FAX: <br /> FACILITY CONTACT: TAX DEPT PHONE: (847)315-3404 <br /> OWNER NAME: WALGREEN COMPANY CITY: DEERFIELD <br /> WNER ADDRESS: 300 WILMOT RD PHONE: (847) 527-4669 <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 />