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Lodi Dialysis <br /> 1610 West Kettleman Lane,Suite D <br /> Lodi, 9-33 Da i ta�: <br /> Phone::209-334-9888 <br /> Fax:209-333-0888 <br /> DaVita.com <br /> Communication Checklist <br /> Emergency Management Agency <br /> Date of communication: 02/17/2020 <br /> Facility name / number: Lodi Dialysis/00277 <br /> Agency information <br /> Provider name: San Joaquin County Office of Environmental Safety <br /> Business Phone number: (209) 468-3420 <br /> Secondary Phone number: <br /> Contact person: <br /> After hours contact person: <br /> Phone number: <br /> Emergency preparedness <br /> Is dialysis facility noted as critical care provider within Agency plan? Yes No <br /> If no, explain: <br /> Communication process <br /> Explain how Agency will communicate with the facility regarding emergency situations: <br /> Community emergency drills and exercises <br /> Explain if community drill and exercises are available and how facility will participate: <br /> Additional information: <br /> Teammate completing form: <br /> Date: <br />