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COMPLIANCE INFO_1985-2020
Environmental Health - Public
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EHD Program Facility Records by Street Name
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ROSEMARIE
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4500 - Medical Waste Program
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PR0450015
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COMPLIANCE INFO_1985-2020
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Last modified
6/6/2024 3:26:49 PM
Creation date
7/3/2020 10:18:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
1985-2020
RECORD_ID
PR0450015
PE
4524
FACILITY_ID
FA0001270
FACILITY_NAME
BROOKSIDE CARE, LLC
STREET_NUMBER
1221
STREET_NAME
ROSEMARIE
STREET_TYPE
LN
City
STOCKTON
Zip
95207
APN
11021012
CURRENT_STATUS
02
SITE_LOCATION
1221 ROSEMARIE LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4524_PR0450015_1221 ROSEMARIE_.tif
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EHD - Public
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, <br /> a <br /> STRAIGHT BILL OF LADING <br /> MANAGEMEWI <br /> P.O.No.. BOL No., Page <br /> ©ate: ,S ER20 1 Of I' i <br /> Shipper: Deliver to: i <br /> WM Healthcare Solutions `.- � r - ;.•;, �', . '.410 E.E. Grant Line Rd. <br /> Tracy, Ca 95376 I �- <br /> (209) 666-7638 Joe Koegl <br /> I <br /> I <br /> Route: Account: r i <br /> T07 <br /> Qty t�M Ktnrl of:packagtt g,De�5rlp ron afJ�crttctes Special Marcs and Excepttarts Voturrte i <br /> EA . 'Gallon'RMW.Coritainer f <br /> i <br /> i <br /> I <br /> 1 <br /> f <br /> Total: <br /> Loose Pieces Pallets said to contain Cartons COD Amount + <br /> COD Fee: prepaid ❑Collect Freight Charges: 1 <br /> Bill Freight Charge to: WM Healthcare Solutions <br /> Is Customer Check Acceptable for COD? U,Prepaid J Collect <br /> Mailing Address:4280 Bandini BIVd., <br /> City,'State„Zip:Vernon, CA. 90058. 0Yes 0 N check No. f <br /> r ; <br /> TMs is to certify that the above named matends ate properly classified,described,packaged,.marked and labeled,and are rn proper condition for transportation acoordfng to the applicable regulations of <br /> iha Department of Transportation.- � <br /> Received.subject to classifications and lawfully filed tariffs in effect on the date of issue of,this Straight Bill of Lading,the property described above,fn apparent good order,except as noted(contents acid <br /> condition of the contents of packages unknown),marked,consigned and destined as shown above which said company(the word company being understood throughout this contract as meaning any person <br /> orCorporation in possession of the property under the contract)agrees to carry to its usual place of delivery at said destina@on,if on its own railroad,water line,highway route or routes,or within the territory ' <br /> of fts highway operations,otherwise to deliver to another carrier on the route to said destination. li is mutually agreed as to each carrier d all or any of said property,overall or any portion of said route to <br /> destination and as to each party at any time interested in all or any of said property,that every service to be per'brmed hereunder shall be subject to all the Straight Bill of Lading terms and cor4tions in the <br /> governing classification of the date of shipment - - - <br /> Shipper hereby certifies that he is familiar with all the Sill-of Lading tarms.and conditions in the governing classifieaiion and the said terms and conditions are hereby agreed to by the shipper and accepted. <br /> for himself and his assigns. - <br /> f <br /> Shipper:WM Healthcare Solutions Received by- <br /> i <br /> Phone:323.307,0514 <br /> AuthorizedAuthorized. i <br /> Signature::' f 'I Date: p y. Signatures Date: I <br /> Print Name: Joe Koegl Printed Name: 1 <br /> I <br /> i <br /> .. I <br />
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