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MEDICAL WASTE GENERATOR <br /> FILE COVER SHEET <br /> ACILITY ID#: FA0019928 P/E: 4530 DATE: ota <br /> PROGRAM RECORD#: PR0536153 P/E: DATE: <br /> P/E: DATE: <br /> ADDRESS: 840 S FAIRMONT AVE 1 CITY: LODI <br /> CILITY NAME (DBA): ENDOSCOPY CENTER OF LODI LLC <br /> AGILITY PHONE: (209) 339-7608 FACILITY FAX: <br /> FACILITY CONTACT: RITA COYNE. NURSE MANAGER PHONE: (209) 371-8700 <br /> OWNER NAME: ENDOSCOPY CENTER OF LODI LLC CITY: LODI <br /> OWNER ADDRESS: 840 S FAIRMONT AVE 1 PHONE: (209) 371-8700 <br /> Water Service: Q 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 /> f <br /> �I) ARTEL, LLC <br /> DBA Lodi Outpatient Surgical Center <br /> Endoscopy Center oJLodi <br /> Oz Ceja <br /> Business Operations Manager <br /> oceja@artelllc.net <br /> Cell 5101861-1178 <br /> 521 South Ham Lane,Suite F•Lodi,CA 95242 <br /> Bus.209/333-0905•Fax 209/333-0219 <br /> 840 South Fairmont Avenue,Suite 1•Lodi,CA 95240 <br /> Bus.209/371-8700•Fax 209/369-1262 <br /> EH 00 18 rev 05/2007 - <br /> rpt#: MWCS New Owner: Create a New Cover Sheet/Change Label of File <br />