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0_2001-2019
Environmental Health - Public
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EHD Program Facility Records by Street Name
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CALIFORNIA
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1617
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4500 - Medical Waste Program
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0_2001-2019
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Last modified
1/19/2023 12:54:52 PM
Creation date
7/3/2020 10:22:18 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2001-2019
RECORD_ID
0
PE
4540
FACILITY_ID
FA0013415
FACILITY_NAME
GILL MEDICAL CENTER LLC
STREET_NUMBER
1617
Direction
N
STREET_NAME
CALIFORNIA
STREET_TYPE
ST
City
STOCKTON
Zip
95204
APN
12715050
CURRENT_STATUS
01
SITE_LOCATION
1617 N CALIFORNIA ST
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
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SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4540_PR0517415_1617 N CALIFORNIA_.tif
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EHD - Public
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IbIt <br />rnialzot <br />toc h n, CA 9520461 <br />Stockton, CA 952046117 <br />REGULATORY M: <br />Phone I1: (209) 4519031 <br />Contact <br />SERVICE DATE: 3/11114 10:53:07 AM <br />SHIPPING DOCUMENT t: MDFROOEI KP <br />UN3291, REGULATED MEDICAL WASTE, N 11 S , <br />6.2, PGI I <br />For OUT HAZMAT Emergency Response Cali: <br />CHEMTREC 1-800-424-9300 <br />Customer No. 21132 <br />TOTAL CONTAINERS COLLECTED: 1 <br />TOTAL VOLUME COLLECTED: 5.900 CU FI <br />VOL <br />SUMMARY(Cont Type) UTY CF <br />T814 44 Gal Tub(Bio), CT 12.7 1 5.900 <br />OOAOOAM TB14 <br />I I,e!eby declare that the content• uT ttti5 <br />cu1N!gnlmoit ere fully and aeunalely <br />described above by the proper sldj�ii!aj <br />and a!e classified; patl-.wed, wit ed <br />and label IedlpIacarded, and are in all <br />respects in p!oper condition Tu! t!ampo!t <br />aa_u!di!iU tc. applicable intenrat iunal and <br />natia!al governmental regulations. <br />1u reyes <br />WI/ <br />Generator Signature <br />T!anspu!tei Certification: Blythe, Russell <br />Transporter Signature <br />!_1 THIS IS A THROUGH SHIPMENT. <br />[XI LOCAL TRANS CENTER . <br />Stericycle-Fresno,CA <br />DESTINATION FACILITY: <br />Incinerate Only <br />Stericycle-North Salt Lake,UT <br />3A-448/JA-36 <br />Dental Waste <br />Stericycle-Hol I ister,CA <br />Pharmaceutical <br />Stericycle-Kansas City,KS <br />HIS64 <br />Standard <br />X Stericycle-Fresno,CA <br />DATE ME RECEIPT v�.� t Lq <br />TREATMENT FACILITY:TV. ! �1 <br />DELIVERY DOCUMENT 1: PDFROOETKP <br />
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