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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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R
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ROSEMARIE
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1221
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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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Entry Properties
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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g. <br /> l L 7 X33-11691 1 009189971.1 <br /> �Lit1ATAU Hotlr'EWe�rgenc�i Resp (800);424-9300 <br /> 112i*ROSE r ARI.ELN: <br /> StahCon,�A 95207 CustoDtrie►Seance (855) 32 <br /> (209)477-26614 <br /> I3esc7riptiart;df Waste fit�n ii 7g ntain of m <br /> Gontainets Volume <br /> UN3241,RMd43GAs '(2e Medical Wao (BIq)).43.gal el7y <br /> TraRspor er Totals.. <br /> WM HedMCaM 501UUOM,Fn.0A ice#�ie'Pef;n:t� <br /> 1996 Dan Plate Ste.G; ndidtr 5664 MW-172 Ptang#: :Oed)489-500 <br /> Escondido,CA.92029 Vein 568.8»MVV-157 ]?hexa#: (323)317-0514 <br /> I1acrsp 1 A t'€ lealg 4 r2nt of eteipt of Mater[A1s , _ <br /> pr+intjsypagdMime C'/�;l 1 (,'*i Dati t fr <br /> Tram porte44 <br /> Permit?# i7ata. <br /> 1cdres9 Signature <br /> Prix AlanTe rah` <br /> Aurocl8verrrah ferFac tty tlansfePFaclity incinera8onfaci##ty TneTneratrotr faal€ty AutodavelTrai fer]$ar}Cty At inate%reatinentFacility <br /> iNMt#ea#tfrcariutfons,Tnc WM, a'N3�carg #eaSzar ,tn¢. Cuttis: S? +ugY C,alfvieNaste.SpDulfosis &1tP3Seattie8ioR5edipl Healthwise5ervres <br /> 42$o Bandinl Blvd. 1996:pon tie PEare Suite C 3200 Hawkins Road iA9 5w Kenyon Street i 4800:E.Uncoic Av. <br /> Vernon,CA 40058: Escondido t A 9,2029 onBaltimore MD•21226 t055taW Htvy 65 Seattle WA,9810.8 Fowler,CA 93625 <br /> phone-(323.3,07-0514 Phone(760}489 5009 Pha(410)354-3228 Ayzahuac,TX.7751} Phone{206).505,-9063 Phone(559}834 3333 <br /> Permit#: irslosroi Permit#:TS 73 Permit;#:2'oli wm 0036:: Phone(409)267.-3813 Permit#:PR0080378 Permit ;TS 89 <br /> permit#:2234-A <br /> Signa€ure 5gtfat ;�igriature Slgnatte Stgnatifi? Signature <br /> Date. Date hate Date Date PD2 <br /> UCserepancy Treatineeti;t litY�rtfftataan o�tteieijit arii9 Destro:than <br /> "t certify that ft.' entS:of the listed 4ontainer(s)have been Y'eeeived,treated,and <br /> disposed of at one or more of the facilities indicated above in accordance with all:local,Se, <br /> and federal segufatlons." <br /> �OfnFReIltS - .. <br /> Gel raD X a efif hatg:;"T hereb *.b-that"the content§of tts'corsTgnTeit are fusty and acdur�tely described above bye P! shipping name tinct are classlffeLt,packaged, <br /> pplied ie state Fegtmarded,and are in ail res acts in ra er mndltign for transport by highxray accor&,W�appr�eakie laterria 6nr il:aand nae dnal;government regulation I ic[uding <br /> marked tired tabeFa! P p. P <br /> a dons." <br /> 5 P€iiat/'fid.f1a[f�e <br /> Lute. ' <br /> i <br />
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