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® • -®s i i •- a <br /> Facility/Site <br /> SATELLITE DIALYSIS(STKN) CERS to <br /> 1801 E MARCH LN BLDG A 10186857 <br /> STOCKTON,CA 95210 <br /> Submittal Status <br /> ubmitted on 1/14/2015 by Terri Grenz of SATELLITE DIALYSIS(STKN)(STOCKTON,CA) <br /> )dentification <br /> Satellite Healthcare Beginning Date Ending Date <br /> �perator Phone Business Phone Business Fax <br /> 1209)473-6890 (209)473-6890 (209)473-6898 Dun&Bradstreet SIC Code Primary NAICS <br /> I <br /> facility/Site Mailing Address PrimaryEmergency Contact <br /> 1801 E.March Ln. Terri Grenz <br /> Stockton,CA 95210 <br /> Title � <br /> Technical Supervisor <br /> j Business Phone 24-Hour Phone Pager Number <br /> i (209)473-6890 (209)200-9144 <br /> Owner Secondary Emergency Contact <br /> Satellite Healthcare Will Jones <br /> (650)404-5600 Title <br /> 300 Santana Row#300 Technical Manager <br /> San Jose ,CA 95128 i Business Phone 24-Hour Phone Pager Number <br /> (209)473-6890 (209)662-3569 <br /> Billing Contact Environmental Contact <br /> ;Satellite Healthcare Terri Grenz <br /> (650)404-5600 I (209)200-9144 grenzt@satellitehealth.com <br /> i00 Santana Row#3001801 E.March Ln. <br /> San Jose ,CA 95128 Stockton,CA 95210 <br /> i <br /> ;Name of Signer Si Title <br /> I Signer Document Preparer I <br /> Terri Grenz Technical Supervisor Terri Grenz <br /> dditionalInformation <br /> Locally-collected Fields <br /> ome or all of the following fields may be required by your local regulator(s). <br /> Property Owner Assessor Parcel Number(APN) <br /> atellite Healthcare <br /> ,Phone ! Number of Employees <br /> I <br /> f (650)404-5600 <br /> I <br /> �,iling Address Facility to <br /> �00 Santana Row#300 <br /> )San Jose ,CA 95128 <br /> i <br /> i <br /> Printed on 1/14/2015 11:40 AM <br />