My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO_2023-2024
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
H
>
HAMMER
>
2505
>
4500 - Medical Waste Program
>
PR0526860
>
COMPLIANCE INFO_2023-2024
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
7/2/2025 11:04:53 AM
Creation date
10/19/2023 2:09:29 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2023-2024
RECORD_ID
PR0526860
PE
4520 - PRIMARY CARE FACILITY
FACILITY_ID
FA0018191
FACILITY_NAME
SUTTER GOULD
STREET_NUMBER
2505
Direction
W
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95209-2839
APN
08227003
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
Site Address
2505 W HAMMER LN STOCKTON 95209-2839
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
198
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
SANJ O A Q U I N Environmental Health Department <br /> —COUNTY— <br /> Certification <br /> OUNTYCertification Statement <br /> FOR NON-MEDICAL WASTE GENERATORS AND MEDICAL WASTE GENERATORS NOT <br /> REQUIRED TO REGISTER <br /> Business Name: <br /> Business Address: <br /> City State Zip Code <br /> Phone Number: ) <br /> Contact Person: <br /> I am not required to register as a Medical Waste Generator because: <br /> Please check the appropriate statement(s) <br /> ❑ I do not generate any medical waste. <br /> ❑ I generate less than 200 pounds of medical waste per month. <br /> ❑ 1 do not treat any medical waste at my facility by means of autoclaving, incinerating or <br /> microwaving. <br /> ❑ Other: <br /> Please indicate the appropriate statement(s): <br /> ❑ I declare under penalty of law that to the best of my knowledge and belief, I do not generate or <br /> .store any of the wastes specified on the "Pre-Application Questionnaire" as regulated <br /> medical wastes in an amount that equals or exceeds 200 pounds per month. <br /> ❑ I declare under penalty of law that I will not be treating any amount of regulated medical wastes <br /> at my facility by way of autoclaving, incinerating or microwaving, <br /> Signature: Title: Date: <br /> 4 of 11 <br />
The URL can be used to link to this page
Your browser does not support the video tag.