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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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ERIE ORDER NO, c <br />-vs. c OE <br />CUSTOMER: -.1' v 1,2 7 1-4 Division of American Sterilizer Company <br />M <br />LUUl UUTPATILl"J SUIWILAL LEWILk <br />t'21 S HAM LANL <br />.LUJI LA <br />SPECIAL INSTRUCTIONS <br />LNVUICE PA817,�� LPAkAIL-Ly <br />r :1)6 <br />PREVENTIVE <br />MAINTENANCE J OFFICE NO <br />AGREEMENT OFFICE NAME ► <br />INSPECTION <br />EQUIPMENT LOCATION: INSP. DUE 0, <br />LLUI, UUTPAULNT SURCICAL (;ENTOK <br />SZ1 � HAM LANk <br />LOW LA <br />COMMENTS: <br />CLOCK-w,CUSTOMER —LOCATIO� <br />�) ' 1 <br />0 CUSTOMER <br />D.-LABOR (OR TOTAL PMA <br />CHARGE)71-CUSTOMER ORDER NO. -PARTS ONLY (WHERE REQUIRED) <br />UNIT # <br />DESCRIPTI <br />STLJ�01,1 t-i4LkATfjk LOCATION <br />as(; <br />x LA6LL VAC w/ AAK040 SERIAL NUMBER <br />25830 <br />L k <br />DATE COMPLETED: TOTAL MILES <br />TOTAL HOURS -TR <br />E <br />CO'HE PRODUCTS COVERED y TfS AGREMET HA INSPECTED AND SERVICED 11 <br />QUIPMENT ANWORV PRICINGBAREHSUBJECTETONCONFIRMAT16NN AND/OR <br />APPROVED ADJUSTMENT By AMEI <br />OWNER AUTHORITY X <br />7A <br />SERVICE PARTS FURNISHED AMOUNT <br />7VEL� ��-TOTALHOU�RS-jo, <br />AMOUNT <br />MO T <br />To E VO <br />TO BE INV011 <br />ACCORDANCE )E IN ICED <br />I --7—L HE:iERMS <br />ACCORDANCE ANCE WIT�H THE F PREV 4TIVE MAINTEN"E AGRI <br />I C ST 1�11MS OF 0 —IR <br />:AT . 'VE <br />'CAN STERILIZER COMPANY. ERIE, PENNSYL�V <br />AMERICAN <br />STERILIZER COMPANY X <br />ES <br />CLOCK <br />EQUIPMENT NO. & CHARGE DESCRIPTION <br />L <br />Q ,42 8 1 MON T HL Y P -11-;-A. <br />II'4SPECTl0N <br />CHAkGE <br />DATE COMPLETED: TOTAL MILES <br />TOTAL HOURS -TR <br />E <br />CO'HE PRODUCTS COVERED y TfS AGREMET HA INSPECTED AND SERVICED 11 <br />QUIPMENT ANWORV PRICINGBAREHSUBJECTETONCONFIRMAT16NN AND/OR <br />APPROVED ADJUSTMENT By AMEI <br />OWNER AUTHORITY X <br />7A <br />SERVICE PARTS FURNISHED AMOUNT <br />7VEL� ��-TOTALHOU�RS-jo, <br />AMOUNT <br />MO T <br />To E VO <br />TO BE INV011 <br />ACCORDANCE )E IN ICED <br />I --7—L HE:iERMS <br />ACCORDANCE ANCE WIT�H THE F PREV 4TIVE MAINTEN"E AGRI <br />I C ST 1�11MS OF 0 —IR <br />:AT . 'VE <br />'CAN STERILIZER COMPANY. ERIE, PENNSYL�V <br />AMERICAN <br />STERILIZER COMPANY X <br />ES <br />
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