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EHD Program Facility Records by Street Name
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4500 - Medical Waste Program
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PR0450109
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CORRESPONDENCE
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Last modified
12/22/2022 11:45:22 AM
Creation date
12/8/2022 4:00:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
CORRESPONDENCE
RECORD_ID
PR0450109
PE
4522
FACILITY_ID
FA0003978
FACILITY_NAME
KAISER FOUNDATION - MANTECA
STREET_NUMBER
1777
Direction
W
STREET_NAME
YOSEMITE
STREET_TYPE
AVE
City
MANTECA
Zip
95337
APN
20018034
CURRENT_STATUS
01
SITE_LOCATION
1777 W YOSEMITE AVE
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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f <br /> All KAISER PERMANEWE® Stockton/Manteca/Modesto <br /> Jack Gilliland, M.D. , 2 7 s <br /> Physician-in-Chief <br /> Jose R. Rivera, M.P.H. <br /> Medical Group Administrator <br /> Stockton Medical Offices Manteca Medical Offices Modesto Medical Offices <br /> PO. Box 210005 1721 West Yosemite Avenue P.O. Box 577680 <br /> Stockton,California 95269-9005 Manteca,California 95337 Modesto,California 95357-7680 <br /> October 22,2004 <br /> Kasey Foley, Lead Senior Registered Environmental Health Specialist <br /> Environmental Health Department <br /> San Joaquin County <br /> 304 East Weber Avenue,Third Floor <br /> Stockton, CA 95202-2708 <br /> Dear Ms. Foley, <br /> Please accept the enclosed completed forms for Kaiser Foundation Hospital Manteca as we obtain legal <br /> ownership of this hospital on November 1,2004. <br /> The following have been submitted for your review and approval pertaining to the Hospital located at 1777 <br /> West Yosemite Avenue Manteca,CA 95336: Facility Record Information Form,MasterFile Record <br /> Information Forms(EHD 48-02-035 and 48-02-034),Medical Waste Information Packet which includes <br /> the Pre-Application Questionnaire,Registration for Medical Waste,and the Medical Waste Management <br /> Plan. <br /> If you require any additional information please contact me at the below listed number. <br /> Respectfully, <br /> Anna Mosher <br /> Environmental Health and Safety Manager <br /> Kaiser Permanente <br /> 7373 West Lane <br /> Stockton, CA 95210 <br /> (209)476-5621 <br /> cc: Edward Tabacco, Support Services Assistant Administrator <br /> 08274-049(5-03) <br />
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