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i • <br /> MEDICAL WASTE GENERATOR <br /> FILE COVER SHEET <br /> FACILITY ID#: FA0020799 P/E: 4557 DATE: L( <br /> PROGRAM RECORD#: PR0536204 PSE: DATE: <br /> PIE: DATE: <br /> ADDRESS: 10100 TRINITY PKWY 410 CITY: STOCKTON <br /> FACILITY NAME (DBA): AMEDISYS HOME HEALTH CARE <br /> FACILITY PHONE: (650) 678-8669 FACILITY FAX: <br /> FACILITY CONTACT: BIH SHANG SHEN. RN PHONE: <br /> OWNER NAME: AMEDISYS HOME HEALTH CARE CITY: STOCKTON <br /> OWNER ADDRESS: 10100 TRINITY PKWY 410 PHONE: (650) 678-8669 <br /> Water Service: ❑ 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 /> EH 00 18 rev 05/2007 <br /> rpt#: MWCS New Owner: Create a New Cover Sheet/Change Label of File <br />