My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO_2011-2019
Environmental Health - Public
>
EHD Program Facility Records by Street Name
>
H
>
HAM
>
1334
>
4500 - Medical Waste Program
>
PR0536151
>
COMPLIANCE INFO_2011-2019
Metadata
Thumbnails
Annotations
Entry Properties
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
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4524_PR0536151_1334 S HAM__2011-2019.tif
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
147
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
AE Fa - �%649S7rEARARE . . 4, DaZ+a <br /> PT I <br /> 1 tenere�t�t Narrie i s fan 4e Rep*6 d�lu Celia :: 6135saz�1 <br /> SERVICE GATE: 3122116 10'55:55 AN <br /> ORIVIR ID: Ojeda, Pett : <br /> W <br /> SRPPING OOCU{EMT F.MORM31" <br /> TOTAL COLLECTED: 2 x: <br /> TAl VOItAIE. 5.800 CU FT <br /> � s <br /> TO <br /> " MM4 T021 �A00117 T821 <br /> GU§T�MEAtdUaI ER SUMNARY(Cont Type) QTY CF Y { <br /> CF <br /> 0 M, 4, illi w STE <br /> T621 20 Gal TWBio), CT 5.7 2 5.400 t E <br /> 11i111319QUIRt@0 NaStC r10ffi, 4 <br /> ..IIYERY OOCIiMENT/: PuRmi35M <br /> D TOTAL OEIIVEREO ITEMS: 1 <br /> ft <br /> 1�. eIcSl t3 � 3 TYPE QTY U <br /> , ( RQI118t8tj TV1 IO81 Wa B n o s TB21 20 Gal Ttb(91o), CT 5.7 l8 1 <br /> III <br /> i1ft132@t'R89UlalBO�etllt�l�Vas �, es � � � ;^�-� � k s <br /> U3,tegUlatetffeORalirlaste rtTi DR VE Ojeda, Ptte <br /> FREURCY: Every Other Veen l k <br /> g Ul d�detltcA�Ste n R NEXT PICKUP: 4"S116 8 <br /> CUSTOMER SERVICE: (566)STERI-CALL <br /> Ply Thank you for choosingStericycle <br /> itAl32t RFU etllrtlI sria <br /> d }i)latec! edic�i _ t. <br /> a Y <br /> O2 y'afl <br /> v <br /> n. <br /> 777777 <br /> ev„ "4!, EQr,,$E�lA ,✓iv,e`� rE,:.rR+, ,r V=1177-i"11, <br /> V4 y t� 7 ipping#�Wft',,'ar1CT f �f�IACB 1Tl�f)t8ti grid lit Q 31aG21dk tl ATK/ j' <br /> In eilJ nB -P,4", Y11i8 ItiT t� crt � � iicls#s3gFl ti nttt�r�BtgovernrneratalrrgU <br /> iIC c <br /> a� <br /> f <br /> } T & <br /> � . <br /> x tt RRAEDtATI HA tb ?,1, RAt4SP�3RTi�T# - <br /> ft A{ Hcab <br /> � R�ED�►��� Dl�l�� � �� �� f$ � ����� " ipt"Ui � �e ss tlesc bKSve ��� � y ra'. <br /> 4 a <br /> a. <br /> 1RlI�Et?IATt:HN[� } / t41V$Fl L'A i R `t�t Trted�cai teas b n <br /> {'r3rli/3ypeNarn SinslUre Date <br /> ► 19VJ <br /> 31.1 lgriat BY B Aitgrrme�aalllty C a1 a FBeillty: 3) ate Radit <br /> ' Whxa- <br /> f E4 fid ',59 ; <br /> t� <br /> f%N t? w: pu <br /> . ' t <br /> :so <br /> _ ) <br /> TREAti NT MdLii ' 1 cerOy that f have been authorlied by the.applicable state agef3cy to accepi�nir`eatetl riredlcal:wastes and that I have, <br /> -" received the above"indlcaied wastes in accord ripe Hath g"reguireMe Ci fined in that authori�atlon." <br /> a <br /> PrintTryp6 Name ; <br /> �. Signte= bate . , <br /> Fria Asst <br /> 4 <br /> LEAWTT <br /> w 2' <br />
The URL can be used to link to this page
Your browser does not support the video tag.