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Ftpteoing People. Rj d&dng Risk: <br />No Stip Record <br />Cj Pharmacy Retail 3di teMlob 0 Forel Genter <br />Store Number, Staples Retail #934 #1:W <br />$tore Address: 249 Commerce Avenin:, MANTECA, CA 95337 <br />Serie Q : 3f18U2019 <br />Pharmae <br />Does store have a pharmacy? (if no. go to Retail l Front Stare) � Yes No <br />Stcong Pak Serviced Store - No acute Rx waste to ship. ID <br />StrongPak Serviced Store - No non-acute Rx waste to ship. <br />StrarigPak Serviced Stare - No controlled substarice Rx waste to <br />Ship. <br />Pharmacist In Charge flame {PdntW) Pharmacist to Charge signature <br />it 1 Front Store <br />;ror ng P* Senr;ced Store - No Front Stole Area (retail) wa eo 0 <br />t More lV7an ement Moregent nt Team ember Ig <br />(P nted) <br />tots 4b <br />Does store lhave we# photo processFng? Yes No <br />€f Yes, StrorigPak Services Store - No photo waste to ship- <br />Store Management Team Member 8r7d Title Store Managemeat Team Member Signature <br />(panted) <br />Fueler±ter <br />Strong Pak Servicad Stcre - No Fuel Center waste to ship - <br />Stare Management Team Veraber and Title <br />(printu-a'} <br />StrongPak Technrcan Name (pfmSed) <br />U <br />Srom Management Team Member Signature <br />Str r�gPak Techorcan Sagnafure <br />tronGplak ROW O+t-S;e Wade sw'ems <br />fill Crooked Greek Road, Nt3�cross, GA 301J52 <br />D.778.7684 wxw.Stercyde-coon <br />