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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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PR0536143
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COMPLIANCE INFO
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Entry Properties
Last modified
12/20/2022 3:24:39 PM
Creation date
7/3/2020 10:16:48 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0536143
PE
4520
FACILITY_ID
FA0012186
FACILITY_NAME
CHANNEL MEDICAL CENTER
STREET_NUMBER
701
Direction
E
STREET_NAME
CHANNEL
STREET_TYPE
ST
City
STOCKTON
Zip
95202
APN
13929015
CURRENT_STATUS
01
SITE_LOCATION
701 E CHANNEL ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4520_PR0536143_701 E CHANNEL_.tif
Tags
EHD - Public
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ISSION Atl <br /> v A Regional Primary Health Care System Serving San Joaquin, Yolo, Solano and Calaveras Counties 7 <br /> C�1 Corporate Office:701 E. Channel St. P.O. Box 779 • Stockton, CA 95201-0779 ° z <br /> 209/944-4710 • Fax: 209/944-4796 • www.communiEymedicalcenter.com 2 <br /> � F <br /> PGg41TY DI�"v� <br /> San Joaquin Public Health Services <br /> Environmental Health Division <br /> Medical Waste Management Program <br /> 304 East Weber Avenue, 3rd Floor <br /> Stockton, CA 95202 <br /> December 10, 2001 <br /> To: Kasey Foley <br /> Please add the following information to the application for Limited Quantity Hauling Exemption <br /> Form involving Channel Medical Center (storage facility): <br /> Other Medical Office/Business.- Address Telephone <br /> 1. Delta Health Care WIC 4662 Precissi Lane 472-7093 <br /> Stockton, CA 95207 <br /> 2. El Dorado Healthy Start 1540 North Lincoln Street 953-4885 <br /> Stockton, CA 95204-5617 <br /> 3. Health Fairs Health Fair --- <br /> Other employee names &titles authorized to transport the medical waste: <br /> Name Title <br /> 4. Terrie Mabalon Registered Nurse <br /> 5. Martha Covarruvias Receptionist <br /> 6. Gloria Ulloa Receptionist <br /> 7. Virginia Valdez Registered Nurse/Children's Immunization Prog. <br /> 8. Janet Olstad Registered Nurse <br /> 9. Virginia Segura Medical Assistant <br /> 10. Lourdes Gomez Medical Assistant <br /> 11. Angie Carlos Medical Assistant <br /> Thank you, ^ A l <br /> Terrie Mabalon, R.N. <br /> /tpm <br /> Channel Medical Dixon Family Esparto Family King Family Center San Andreas San Joaquin Tracy Family WIC Program Woodbridge Medical <br /> Center Practice practice Health Clinic Family Practice Valley Dental Group Practice 425 N.Calif.St,Ste.7 Group <br /> 701 E.Channel St 131 West St.,Ste.1 17050 S.Groton St 2640 E Lafayette Street 265 W.St Charles St.,Ste.3 230 N.California Street 730 North Central Ave. P.O.Box 779 2401 W.Tww 3d.,Ste.450 <br /> P.O.Box 779 P.O.Box 846 P.O.Box 134 P.O.Box 779 P.O.Box 1107 P.O.Box 779 Tracy,CA 953764104 Stockton,CA 95201-0779 Lcdi,CA 95242-2185 <br /> Stockton,CA 95201-0119 Dixon,CA 956200846 Esparto,CA 95627-0134 Stockton,CA 95201-0779 San Andreas,CA 952491107 Stockton,CA 95201-0779 Tel:209/820-1500 Tel:209/8105000 Tel:209:'368-2212 <br /> Tel:209/9441710 Tel:707,1678-6227 Tel:530%787-3454 Tel:209 7551400 Tel:209,1940-7200 Fox:209,,/8201525 Fax:209/8705020 F.209 368-0228 <br /> Tel:20995 34666 <br /> Fax:209/9444796 fax 107618-5017 Fac 530/7874233 fax:M'/9534691 Fax 209.7551430 Fas 209,9447255 trdoctponemom.comladocQanemaiacom <br /> cmcwic®onemain-com <br /> cmcdocponemain.com dxdoc@onemain.com dxdoc®onemain.com cmcdocitonemain.com sadac�onemain.com dendoc�onemain.com <br />
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