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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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HAM
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4500 - Medical Waste Program
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PR0450055
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COMPLIANCE INFO
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Entry Properties
Last modified
2/9/2023 12:05:38 PM
Creation date
7/3/2020 10:16:29 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0450055
PE
4520
FACILITY_ID
FA0000388
FACILITY_NAME
Lodi Outpatient Surgical Center
STREET_NUMBER
521
Direction
S
STREET_NAME
HAM
STREET_TYPE
LN
City
LODI
Zip
95242
CURRENT_STATUS
02
SITE_LOCATION
521 S HAM LN STE F
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4520_PR0450055_521 S HAM_.tif
Tags
EHD - Public
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2. Estimate the monthly amo t of <br />facility: = IX morn <br />waste (excluding waste pharmaceuticals) generated at your <br />3. Describe the medical waste handling procedures utilized by and applicable to your facility, including, <br />but not limited to the following: <br />a. Onsite location and method for segregation, containment, packaging, labeling and collection, <br />including pharmaceutical <br />klaAL is diLCAM®d In -b <br />R <br />All 'hat wL Iq LA ► avy6ts W at idh c *on eJ - <br />b. Storage area description with storage methods utilized fo�j each wast <br />tphartnaceutical waste- bti a 1 d MOMI 1h tatt hallwai <br />c. If medical waste is treated onsite, describe the treatment facility including type of treatment <br />utilized, maximum capacity, time and temperature necessary, alternate contingency plan in case <br />of equipment failure, etc.: <br />W <br />d. Name, address, registration number and phone number of the registered hazardous waste <br />hauler employed by your facility for biohazardous (excluding pharmaceutical waste) and <br />sharps waste: <br />Name:z(- <br />Address: <br />Address: 40 FIME l AVE <br />o2TN6 Il IL (0006 a <br />ity <br />Phone: State Zip Code <br />� 4��q�� � 065 <br />Registration #: <br />e. Name, address, registration number and phone number of the registered hazardous waste <br />hauler or common carrier employed by your facility for pharmaceutical waste: <br />r <br />Address: o �tL U <br />WMT149Q0W IL 6006 a <br />City State Zip Code <br />Phone: S &4-f) 915 0-465 <br />Registration #: <br />EHD 45-03 6 <br />2015 <br />TM <br />
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