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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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914
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4500 - Medical Waste Program
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PR0450036
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COMPLIANCE INFO
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Last modified
2/23/2023 12:56:48 PM
Creation date
7/3/2020 10:22:12 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0450036
PE
4532
FACILITY_ID
FA0002856
FACILITY_NAME
DELTA HEALTH CARE
STREET_NUMBER
914
Direction
N
STREET_NAME
CENTER
STREET_TYPE
ST
City
STOCKTON
Zip
95202
APN
13904043
CURRENT_STATUS
02
SITE_LOCATION
914 N CENTER ST
P_LOCATION
01
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4532_PR0450036_914 N CENTER_.tif
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EHD - Public
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AO <br /> ; > � 3, � t MEDICAL INSTRUMENTATION SERVICE PERFORMED <br /> CALIBRATION&THERMOGRAPHS <br /> - <br /> I N C O R P O R A T E D <br /> 1731 Howe Avenue <br /> Suite 248 <br /> Sacramento, CA 95825 <br /> (916) 447-2287 <br /> ATE r'% �,",g a SERVICE 1388 �j S C-,REPORT NO. <br />:USTOMER NAME ' <br /> ODRESS l J"C -- c =_ <br /> TTY SA--r � APR 1 9 1^ -( 4 � <br /> R O.T. R. O.T. <br /> INITL. DATE HRS. HRS. TRVL. MILES INITL. HATE R .L MLE4, <br /> DUIPI�LOCATION C' F'Tc iZ, BME NO. ~-� MFG. <br /> _A PQZT MOD. P/N SY�..I` A S/N - <br /> MOD. P/N S/N (� <br /> CCESSORIES W4 <br /> ff ��,,���� TOTAL TOTAL I ;?1 <br /> 4RTY PLACING CALL =�"-M� POSITION QTY. PART NUMBER DESCRIPTION P::z], RICE AMOUNT <br /> AM <br /> ATL CALL RECEIVED TIME PM gel n, <br /> LASON FOR SERVICE/COMPLAINT V <br /> N <br /> U <br />,BSERVED <br /> IT i'I+ANN[L R.f PONER FRES MFR CONTROL CONTROL <br />:LEh1 ' sET sET <br />— COAs 81 POLER nafR MIN MAIC CUSTOMER PO,NO. MATERIALS <br />;U TYPE OF SERVICE: TOTAL <br /> 11N,31,M11DED GROUNDED K*WU M$ MFR W/s W/s ❑ WARRANTY cEv,RGE c OcE N `T <br /> AKAGE I O Lb Z�.I 13v / Date MFG. ❑ LABOR' <br /> uNC:Ih1UNOFD GROLXdDED MILLK>" MFR. W/s W/$ .� ... <br /> AKAGE` , NON WARRANTY <br /> 4?. <br /> . RR ACCEVIANCL ❑REMOVAL NIN 9r ❑RECENED BY TK REPAIR cusT ❑ MILEAGE -• <br /> IKCALIBRATION LABOR <br /> -- DA RENRNEo- PREP D AND coMPLEIED BY ❑ CONTRACT ❑ - I =s)PCINSPECTION O.T. El <br /> TAX <br /> k:::Q I �V--d- �. El THERMOGRAPHS I SHIPPING <br /> MODEL SERIAL NO. ACCESSORIES PICIIB� DATE ❑ INSTALLATION TRAVEL ❑ AND <br /> ❑ OTHER <br /> SERVICE PERFORMED AT: MATERIALS ❑ '�J 1r � <br /> ❑ BIO ENGINEERING [CLINIC SHIP DATE CARRIER <br /> SHIP VIA GH 0 AIR 0 UPS 0 H/C ❑ HOSP. 0 OFFICE SHIPPING No. <br />
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