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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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701
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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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02/01/2007 10:28 FAX 209 751 18 COMMUNITY MEDICAL CENTER 0003 <br /> p%1UN 4,.- <br /> Community Medical Centers, Inc. <br /> Ad ministration <br /> 7 <br /> 7210 Murray Drive P.0-Bax 779 Stockton,CA 95201-0779 <br /> 209/373-2800 Fax:209/373-2878 www.comrnunitymedicalconters.org <br /> Calavaxm Health Link <br /> 265 W,P,Charles Street,Sle.2 <br /> P.D.Box 1107 <br /> Sw,Woaa,CA 95249 <br /> Tek 207/75 5.14SO <br /> FK 209/755-14Y9 San Joaquin Public Health Service <br /> Channel mcoad cluder Environmental Health Division <br /> 701 Lanod Stol/PO.hx 779 <br /> %dd..(A 942,14779 Medical Waste Management <br /> Tel:71A/92700 304 East Weber Avenue,3rd Floor <br /> Fo,2U-)hq4A795 Stockton CA 90502 <br /> anionmilly Medical centers <br /> 604 No la Read,Sic.310 <br /> %ndl,CA 456874M6 <br /> V:209/259.1800 December 14,2006 <br /> FWL,M/359-101 <br /> 1721 L Hc=mr Lme,%.A <br /> Smekion.(A 95210 To: Kasey Foley <br /> 9/7 -1,200 <br /> rex:2Dvl151.5252 <br /> Please add the following. information to the application for Limited Quantity Hauling <br /> camanuft Mailed caft-S <br /> 26S W.9.(66s Stmt SIL 3 Exemption,involving Channel Medical Center(storage facility): <br /> P.O.hX 1107 <br /> &M WWI,CA 95249.;107 <br /> W%9/755.1400 Other Medical,-Offices/Flusinesses: <br /> fm,209/755-10 <br /> Dixon Family Practice <br /> 131 Woo A Strol,SW.1/PC,Rn 046 *See attachment <br /> Dixon,CA 15620-0846 <br /> 7A 707/535-1640 <br /> Fox:707/635-1641 <br /> Esparto Topully Pmctk4! Other employee names&titles authorized to transport the medical waste: <br /> 17050 S.Craft"stow/1110.my 134 <br /> *ft.Q 9927-0134 4.Albin Torres Medical Receptionist-CMC <br /> Td;530flV.3454 <br /> F"!S30MA731 5.Randy Pinclli Physician Assistant/CareLink <br /> wing Fmnily Center 6.Benjamin Morrison Medical Doctor/CareLink <br /> Health Viou: 7.Angie Carlos Medical Assistant/CareLink <br /> HAD EU4aeStmi/P.D.BaY70 <br /> smcklo,unni.ing 8.Lettie Berber Secretary/CaTeLink <br /> V:20YATOM 9.Kelly Rillamos Secretary/CareLink <br /> F":207/416-6w 10.Diane Fountain Cast Manager/CareLink <br /> iawreexte Familly I I.Marisol Alvarez Receptionist CPSP <br /> coater&clizat <br /> 771 C".M%ftl 12.Martha Covarruvias Medical Receptionist—Lawrence Family Center <br /> A.U9524MV 13,Tai Tran Physician Assistant-Lawrence Family Center <br /> Tek 209/821.3019 <br /> r—20sMall 14.Maria Gaza Med;ml Assistant-Lawrence Family Center <br /> San Joaquin Valley 1 S.Rosalia.Adame Medical Assistant-Lawrence Family Center <br /> DeaW Group 16.Terrie Mabalon Registered Nurse(TC) <br /> 230 N.(ahktido Snow/P.O,Pox 779 <br /> goddm,CA 95NIVN <br /> TIL 209/941-7290 <br /> Fax:299M0-7255 <br /> IFUcy Fandly Practice Thank you. <br /> 720 NoA Cental Amu <br /> Tfqq,[A 95371,4104 <br /> W:M/0201�108 kJ <br /> Fax:209/120. Z5 <br /> Care Unk <br /> 230 N.(Arriu Sim F.U.kx 779 <br /> %do.,(A 95201-077V Terris Mabalon,R.N. <br /> Ilk MMUM 209-373-2860 <br /> Fu M/400250 <br /> W-Wbrifte Medical St-w <br /> 2401 W.Ax=r Rawl,510.450 <br /> LA CA 95747-9195 <br /> Tel:2n9/3711.1100 <br /> 7W 09-1727 <br /> WIC Program <br /> 115 It Ugtxmu Skeet%,7 <br /> FO.hx'17T <br /> SIS(A 9MIum <br /> 204(110-5008 <br /> IF=29VIA-5020 Mimion:"To improve,the Health and Quality of Life Cor Mant-mrs o-Ithe Comnwnity- <br />
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