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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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til �37z i 1-i#f>9t243��: OW1892554 <br /> Medical Wastei Tracking Document Route No. T07 <br /> E ER H ( <br /> 24-Hour titttet'goetcy ReWOS (80034241-93010 <br /> f t,1tG►5E MAFt2€'LN (SW 508-0392 <br /> SP:Id r€'.A 95202 : <br /> (209)072659 <br /> Oesaripticsn of W;3ste ContafnerType gainers. , 17R1[c sxe <br /> UCV3291,Esta d:lli li�.tiV l 5:;6.2,Ptd 43� 'gtlief 0l'ie�Teal;thF05te <br /> �. Totals <br /> — <br /> lace <br /> _ <br /> VJNr�ea� Srrltt#Icln�,Irc, l�pp11cab1:�l�ermt"!�; . <br /> 1996 Dora t Place:!ke.-� Esca�iido X588 .�1W4 #chane� :TfEiti�4 5O <br /> ESFmndit f Cf4:'r92i339' �t sfr nR 56B$,- <br /> <1. } e#., {323)'30?-i?514 <br /> T.f'a !Fpor'terl lei cih rowled tt of: <br /> 519natatre r ,�/i pant/Typ4d. c Yiati� 1- f <br /> T€'4a�port•+e� Ae€rnfit•� t}aite. <br /> Address 5igatattare <br /> *b1ited8t <br /> A€rtoctave/�ratlsPcr FacitiEY 3ransfer IFad Tt t�ereEiars fzcllffy serdtigra Facility AutoitYsve#Tk�5Eer,Fac liCy AliemaEe�reaime i ao <br /> NIFI Heaifficare'Sohittd i5;Istr WM rewire`�ohitioris lnc C2trp$'$ayeiesgy' Guifwest WasteSolcrtSorss WM Seattte t3lom?dical NeaRhwise Spiv des <br /> 4280'6anditif Blvd 1496'Don Lee i?iace 5uite;c 3209'Hawkfirs Rfao . LLC149 SW Kenyon Street 4800 F.UncbEc Aw: <br /> Vprndn,GA 90058 ont}ida,CA 92429 8alilrt6dr�,P9t? 2Ia nbssta€e Hwy 6S Seattle,*98108 Fowf&,0.93625 <br /> Phone(323J 30T 0514 ? ore(760)489.5004 Phone(410)354-3228' A).MbuqO,,TX 77514 Phone(206)505-9663 Phone(559)::834-3333 <br /> permit#:, TS/OS{ 2; Petmik# T-5-73 Petrt .. tTl 1MMI 0035. Phone(409)-267-3913 Permit#:PR006037$. permit#:TS-89 <br /> Permit'#:2239 A <br /> 5igtiatur2 Sigtk"l e., Sfgnatyre SoaWre. Signakure FAnatue <br /> ...p31�: .... :Date <br /> Date lite. ____,___...._., Date <br /> Discrepar cy <br /> i eatmet}t Fs tcili$gr erttfec9t{1S 3fe�etpt a3Sd' <br /> 1,certify that the content§ €theid€ed 6onW6er(s)have.beeh recetyN ligated and <br /> Disposed mf at one oc.more of khe facilities indicated above its accordance anth.all ioe2t, , <br /> and federal regulation§;" <br /> Gcpinmes$s <br /> tY `S t t s e itt'I hert-by.�iec :Yni the Cot er of#s gnmen€are fully Arad aocui -ff desc deli atiove by the pto r siifppinB Warne and ale c assNied padag d;. <br /> mac d and labeled/placaa'ded/ dare m.a8're ill proW cont t f?r jransport by hY9hway accoFd�iig to applicable Intern�tlnai and national government regulations,including <br /> apjiiirablestaie.regulatiPM, <br /> J - - <br /> altped Nia€ne. <br />
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