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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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4500 - Medical Waste Program
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PR0450055
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COMPLIANCE INFO
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Entry Properties
Last modified
2/9/2023 12:05:38 PM
Creation date
7/3/2020 10:16:29 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0450055
PE
4520
FACILITY_ID
FA0000388
FACILITY_NAME
Lodi Outpatient Surgical Center
STREET_NUMBER
521
Direction
S
STREET_NAME
HAM
STREET_TYPE
LN
City
LODI
Zip
95242
CURRENT_STATUS
02
SITE_LOCATION
521 S HAM LN STE F
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4520_PR0450055_521 S HAM_.tif
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EHD - Public
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F, <br />EON <br />CO <br />RO <br />RO NO, <br />CUSTOMER P.O. NO. <br />CLOCK N <br />SOLD ACCT. <br />USER ACCT. <br />SHIP ACC?. <br />ERIE USE ONLY <br />PAGE <br />F <br />SOLDO: ADDRESS <br />CITY STAT ZIP CODE I ATTENTION <br />�o- / `I <br />At SERVICE <br />Divisi of Am—, Slerllizer Company <br />SHIP TO: C� SZcj ADDRESS <br />I <br />----I---T----------------------------------------- — <br />CITY STATE ZIP CODE ATENTION <br />I <br />I <br />PARTS DISPOSITION CODE LEGEND: <br />7=SCRAPPED 2=T0 R.O, 3=T0 ERIE <br />4=TO APEX 5=TO MONTGOMERY <br />6=OTHER 7=SERV. ENG. (IF OTHER <br />INDICATE IN COMMENTS AREA BELOW) <br />IS <br />ITEM <br />QTY- <br />PAiFT <br />�P- S <br />NUMBER <br />(ONIMUM ORDER CHARQE <br />DESCRIPTION WHERE APPLICABLE).:, <br />UNIT <br />PRI✓`E <br />TOTAL <br />AMOUNT. <br />BILL <br />CODE <br />enulP nENT <br />IDENTIFIER <br />^. SERIAL NO <br />pN JOB ' <br />HOURS <br />DISP <br />CODE <br />i I <br />I <br />I I <br />I I <br />I I <br />i I <br />I I <br />I I <br />I I <br />i <br />I i <br />I 1 <br />j <br />1 <br />1 I <br />I I <br />— <br />I I <br />i I <br />I <br />I <br />I I <br />I I <br />— <br />I 1 <br />I I <br />I I <br />Adlik <br />I <br />I I <br />I I <br />I i <br />I I <br />- <br />I I <br />I I <br />I I <br />I I <br />I i <br />COMMENTS/EQUIPME T/j��AME // `__. <br />/ /'� �. .�C'=.�.e..n. ? ..-• r' �: '-(cl o• {:, n �l 'f.'" . /r <br />ON JOB <br />$ <br />_ <br />HOURS - <br />2©C ��: � � � ..�G •% '� (_ U ----'� -Z -� Z <br />TOTAL <br />Nouns <br />$ <br />MILES <br />AUTHORIZING SIGNATURE TITLE <br />(� % / , _� / <br />DATE <br />AMSCO REPRESENTATIVE <br />THIS IS NOT AN INVOICE AUTHORIZING <br />SIGNATURE INDICATES THE SERVICES <br />LISTED ABOVE WERE PERFORMED. <br />
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