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4500 – Medical Waste Program
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PR0536798
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Entry Properties
Last modified
10/19/2021 10:46:14 AM
Creation date
10/19/2021 10:43:47 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 – Medical Waste Program
File Section
BILLING
RECORD_ID
PR0536798
PE
4557
FACILITY_ID
FA0021133
FACILITY_NAME
PATEL, PRANJAL KUMAR (MD)
STREET_NUMBER
1530
STREET_NAME
BESSIE
STREET_TYPE
AVE
City
TRACY
Zip
95376
APN
23354005
CURRENT_STATUS
02
SITE_LOCATION
1530 BESSIE AVE # 105
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
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F, Ssl�ne a Fax;(610)8oa3913 To;+f$0493e482Q Fak; + <br /> '• 1'966S 'ON UE l �•�10�t '�Z 'ga'jllawl� panlaaa� <br /> State of California--Heai.th a d Human Services Agency r <br /> 'of : <br /> : . <br /> �C.afifornia Department of Pub�iic -Heap <br /> ZP <br /> RON RAPMAN,MD,MPH <br /> EDMUND C.BROVM JR. <br /> ;Drre &Sra►e.+�e�IGn QIllo�r ...- .. . . . 'Govema.' <br /> ......• ~.. MEDICAL WASTE TR►ANSI,ORTER . <br /> AUTHORISATION AN •CONDITIONS <br /> DATE: February 5, 2014 <br /> :This Is to advise you that the Department of Publio Health, Medical Waste <br /> Management Program,has approved yo r request to be listed as a medical waste <br /> -transporter.You are required to maintain�Y( <br /> o�,rlregistration as a hazardatas waste <br /> transporter, and to abide by all corldittonn the enclosed page las per CA HSC §§ <br /> 1.18000 thru 118040) in.arder to remain listed as.a.medical waste..transpprter,....,. <br /> Hazardous Waste Transporter Regiistratlon Number: ...;6090. <br /> .... ....... <br /> Corr,pany name/address/phone..: <br /> MedWaste''USA, LC. <br /> P.O. Box 1751 <br /> 'Mt. Pleasant, SC 85061 ....... , <br /> (510) 579-4177 <br /> ..... <br /> J- Contact Person: ....CraigWhitney <br /> You are subject to all applicable.provisions o the Medical Waste Management Act, Division. <br /> 104, Part 14, Chapter 6, of t8.e Callforriia-Re ith-and Safety Code an.01he conditions°set <br /> forth.on the following page, <br /> If you have any questions, p[eese.corttac;us t (916)-449-56.71.. <br /> Alison F. Dabney, Chief <br /> Medical Waste Management Program <br /> .......... Med+cAl Waste Management Program. P O Box 991 377.Sacraamonto,CA,956W-74V..................................... .' <br /> (916)449-556`71 . (416}449-5665 FAX <br /> r1wW_cd0. ► av��broi mod�c�awasto <br /> Z000/Z000 01 112,EVd'd A7.An5)f:Ren7. 'YVA WA rr.:T T7rn7ia7i7n <br />
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