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COMPLIANCE INFO_1996-2009
Environmental Health - Public
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EHD Program Facility Records by Street Name
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KASSON
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23500
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4500 - Medical Waste Program
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PR0506192
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COMPLIANCE INFO_1996-2009
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Entry Properties
Last modified
7/14/2025 2:23:06 PM
Creation date
7/3/2020 10:20:27 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
1996-2009
RECORD_ID
PR0506192
PE
4530 - LG QUANITY GENERATOR
FACILITY_ID
FA0007263
FACILITY_NAME
DEUEL VOCATIONAL INSTITUTION
STREET_NUMBER
23500
STREET_NAME
KASSON
STREET_TYPE
RD
City
TRACY
Zip
95378
CURRENT_STATUS
Inactive, non-billable
SITE_LOCATION
23500 KASSON RD
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4530_PR0506192_23500 KASSON_FILE 1.tif
Site Address
23500 KASSON RD TRACY 95378
Tags
EHD - Public
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STATE QE CALIFORNIA <br />iNTRAOFFICE REQUISITION (IOR) <br />AGEt, <br />CDCR 954 <br />I a Department of Corrections & Rehab. <br />E <br />H Deuel Vocational Institution I <br />1 23500 Kasson Road L <br />P P.O. Box 400 L <br />T Tracy, CA 95376 T <br />O <br />0 <br />VO. (QUANTITY I UNIT � COMMODITY rnnF �F <br />—5 EL <br />/Special Instructions: <br />)PERATING EXPENSE <br />/ED <br />DEPART*T OF CORRECTIONS AND REHABILITATION <br />17053 9G 0609 DCR HQ1 <br />Central Valley Regional Acctg. Date PAGE _1 OF <br />Deuel Vocational Institution -DVI <br />P.O. Box 4147 7/24/2008 <br />Stockton, CA 95204 <br />Ref#: <br />Attn: Doug Wellborn <br />®On file Mend <br />WCJF/FSR Cert # <br />ORDERING DEPARTMENT/UNIT <br />HEALTH CARE SERVICES <br />PROJECT —NO, <br />08/09 <br />26322 8/19/2009 50100 <br />'SSB ❑MR r'lnvac TFRMS <br />I Net 30 <br />DESCRIPTION <br />Pharmasafety 8870 waste container <br />18 gallon, Basketed with lime 8 absorbent <br />I hereby certify that these goods are essential to maintaining <br />Departmental Operations and that funds are available. <br />®EQUIPMENT <br />SUBTOTAL <br />TAX RATE: <br />SHIPPING CHARGES <br />I HEREBY CERTIFY on my own personal <br />or Is rvic s requested hereon are necesE <br />SIGNIATURE ! — Imo- I <br />TELEPHONE # NAME Pease Print Name <br />Cynthia Fedrick (209) 835-4141 x 5205 Clarissa whorton <br />Please Print Title <br />DATE TITLE Pease Print Title <br />Correctional Health Svc. Adm I <br />7/24/2008 Office Technician <br />GENERAL <br />516 <br />ESTIMATED COST <br />PER UNITE�T�31.23 <br />7.7500% <br />TOTAL 168.25 <br />wiledhat the articles <br />For se i� my department. <br />t <br />LEPHO .P <br />(209)835-4.14 <br />DATE <br />7//2nnR <br />/ENDOR <br />BAY MEDICAL <br />JAME& <br />400 TALBERT STREET <br />ADDRESS <br />DALY CITY, CA 94014 <br />:ontact: <br />GARY MELENDEZ <br />hone Number <br />Fax Number <br />(415) 508-0900 <br />(415) 508-0100zoa <br />ate Wanted <br />Vendor Number <br />5-20 DAYS ARO <br />5s --- <br />❑ FOB Vendor <br />PFOB Destination <br />❑ FOB Shipping Point <br />TEM <br />VO. (QUANTITY I UNIT � COMMODITY rnnF �F <br />—5 EL <br />/Special Instructions: <br />)PERATING EXPENSE <br />/ED <br />DEPART*T OF CORRECTIONS AND REHABILITATION <br />17053 9G 0609 DCR HQ1 <br />Central Valley Regional Acctg. Date PAGE _1 OF <br />Deuel Vocational Institution -DVI <br />P.O. Box 4147 7/24/2008 <br />Stockton, CA 95204 <br />Ref#: <br />Attn: Doug Wellborn <br />®On file Mend <br />WCJF/FSR Cert # <br />ORDERING DEPARTMENT/UNIT <br />HEALTH CARE SERVICES <br />PROJECT —NO, <br />08/09 <br />26322 8/19/2009 50100 <br />'SSB ❑MR r'lnvac TFRMS <br />I Net 30 <br />DESCRIPTION <br />Pharmasafety 8870 waste container <br />18 gallon, Basketed with lime 8 absorbent <br />I hereby certify that these goods are essential to maintaining <br />Departmental Operations and that funds are available. <br />®EQUIPMENT <br />SUBTOTAL <br />TAX RATE: <br />SHIPPING CHARGES <br />I HEREBY CERTIFY on my own personal <br />or Is rvic s requested hereon are necesE <br />SIGNIATURE ! — Imo- I <br />TELEPHONE # NAME Pease Print Name <br />Cynthia Fedrick (209) 835-4141 x 5205 Clarissa whorton <br />Please Print Title <br />DATE TITLE Pease Print Title <br />Correctional Health Svc. Adm I <br />7/24/2008 Office Technician <br />GENERAL <br />516 <br />ESTIMATED COST <br />PER UNITE�T�31.23 <br />7.7500% <br />TOTAL 168.25 <br />wiledhat the articles <br />For se i� my department. <br />t <br />LEPHO .P <br />(209)835-4.14 <br />DATE <br />7//2nnR <br />
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