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MEDICAL WASTE GENERATOR <br /> FILE COVER SHEET <br /> ACILITY ID#: FA0018490 PIE: 4524 DATE: 32 11 <br /> ROGRAM RECORD#: PR0536151 PSE: DATE: <br /> P/E: DATE: <br /> ADDRESS: 1334 S HAM LN CITY: LODI <br /> FACILITY NAME (DBA): DELTA REHAB & CARE CENTER <br /> FACILITY PHONE: FACILITY FAX: <br /> ACILITY CONTACT: PHONE: <br /> OWNER NAME: DELTA REHAB & CARE CENTER CITY: LODI <br /> OWNER ADDRESS: 1334 S HAM LN PHONE: <br /> Water Service: ❑ Large PWS ❑ Small PWS ❑ Domestic Well <br /> Sewer Service: ❑ Public Sewer ❑ OnSite WWTX ❑ OnSite Septic System <br /> Stormwater: ❑ Street Drains ❑ Street Ditches ❑ OnSite Ponds ❑ Other <br /> EH 00 18 rev 05/2007 <br /> rpt#: MWCS New Owner: Create a New Cover Sheet/Change Label of File <br />