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COMPLIANCE INFO_2011-2019
Environmental Health - Public
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EHD Program Facility Records by Street Name
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4500 - Medical Waste Program
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PR0536151
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COMPLIANCE INFO_2011-2019
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Last modified
2/10/2023 2:54:13 PM
Creation date
7/3/2020 10:19:43 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2011-2019
RECORD_ID
PR0536151
PE
4524
FACILITY_ID
FA0018490
FACILITY_NAME
LODI NURSING & REHABILITATION
STREET_NUMBER
1334
Direction
S
STREET_NAME
HAM
STREET_TYPE
LN
City
LODI
Zip
95242
APN
03107032
CURRENT_STATUS
02
SITE_LOCATION
1334 S HAM LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\cfield
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FilePath
\MIGRATIONS\MW\MW_4524_PR0536151_1334 S HAM__2011-2019.tif
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EHD - Public
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TO DANIELS <br /> Tliis A(kiendum,effective as of this_ 2/1/2019__ ,(hereinafter referred to as the"Effective Date")is entered into by and between DANIELS SHARPSMART.INC.(hereinafter <br /> referred to as"Daniels")and CUSTOMER NAME(hereinafter referred to as'Customer"). Daniels and Customer entered into an Agreement with an effective date of 4/27/2016 <br /> pursuant to which Daniels is the preferred provider for sharps and/or regulated medical waste management services to the Customer at the billable locations and for the indicated <br /> services as listed in the Agreement.The parties mutually desire to amend the Agreement for the purpose of clarifying terms in the Agreement,adding products.services and service <br /> locations,as applicable,to the Agreement.The Agreement along with this Addendum shall hereinafter be collectively referenced as the Agreement. <br /> Daniels and Customer hereby agree as follows: <br /> SITE : ;!New site K Existing site <br /> Company Lodi Nursing&Rehab Contact Name Janina K <br /> Address 1 1334 S Ham Ln Email janinak@aspenskilledhealth.com <br /> Address 2 Phone (209)334-3825 <br /> City/State/Zip Lodi CA 95242 Sales Rep Matthew Miller <br /> Hours of Operations Special Notes Increase frequency to"Every tither Week." <br /> Preferred Delivery Date:2/11/2019 First Pickup: 2/11/2019 Servicing Plant Fresno <br /> Lij ® r • WASTE TYPE SERVICE FRECIUENCY■ �� �' <br /> AINER RATE <br /> cc 1 2e GAL RMW Every Other Week Per Container 18.80 18.80 <br /> U-1 <br /> d� 1 28 GAL Non Haz RX Every Twelve Weeks Per Container 62.88 <br /> � 62.88 <br /> LU <br /> z <br /> U <br /> O <br /> Cr <br /> r� <br /> w <br /> z <br /> SITE PARAMETERS <br /> Estimated Stops per Year: 26 <br /> �';i AddRional pricing provided in schedule A <br /> Additional Stop Charge: $ 125 ) Separate Billing is attached <br /> Minimum Service Fee $ $105.53 Ichr..ch ihl4 b(xr only it billin(i rn diffo.iPnl In main ii(pooriwiu) <br /> Maximum Medical Waste Containers per Year: NA <br /> To the extent the provislons in this Addendum are in conflict with any terms or conditions of the original Agreement,the provisions in this Addendum are deemed to supersede such <br /> other provisions. In all other respects,the Agreement,as revised by this Addendum,remains In lull force and effect,and the term extends again fora penod equal to the original term. <br /> IN WITNESS WHEREOF the parties have executed this Addendum as of the day and year first above written. Each person signing this Addendum represents and warrants that lie or <br /> she is duly authorized and has legal capacity to execute and deliver[his Addendum.Each party represents and warrants to the other that the execution and delivery of the Addendum <br /> and the performance of such party s obligations hereunder have been duly authorized and that the Addendum is a valid and legal agreement binding on such party and enforceable in <br /> accordance with its terms. <br /> gv Lodi Nursing&Rehab Daniels Siiarpsmaft Inc <br /> Name Janina Kihlthau Name Laura wakelam <br /> Signed AIIIIIII! Signed - <br /> Title LVN,DSD Title Chief marketing officer ..OA <br /> Daniels <br /> Date Feb 5,2019 Feb 5,2019 <br /> Date MAKING HEALTHCARE SAFER <br />
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