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EHD Program Facility Records by Street Name
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4500 - Medical Waste Program
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PR0450055
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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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ENVIRONMENTAL <br />SAN JOAQUIN COUNTY <br />186E E. Hazelton Avenue IVED <br />Stockton, California 95205 OCT 16 2015 <br />Telephone: (209) 468-3420 <br />Fax: (209) 468-8392 ENVIRONMENTAL H <br />1° <br />PER <br />GUIDELINES FOR THE MEDICAL WASTE MANAGEMVWftXN <br />Small quantity generators that provide onsite treatment and all large quantity generators shall have a <br />Medical Waste Management plan on file with the San Joaquin County Environmental Health Department. <br />The Medical Waste Management Plan shall contain the following information as appropriate for your <br />facility: <br />Business Name: LOQ buTpAliesT GI L <br />CkWCQ- <br />Business Address: um S. 9nK Lnif- Sum F <br />Lobt CA 95 <br />City State Zip Code <br />Phone Number: ) 336- Wo <br />Type of Facility or Business: KE l L — n.ZA&MY <br />REGISTRATION FOR: - <br />Small Quantity Generator with Onsite Treatment (Generates less than 200 lbs/month). <br />Large Quantity Generator Only (Generates 200 lbs or more/month). <br />❑ Large Quantity Generator with Onsite Treatment (Generates 200 lbs or more/month). <br />Person responsible for implementation of the Medical Waste Management Plan: <br />Name: ZIPPYPTitle: AbM1916MATOZ <br />Phone: 9J - 6105 Date: I • q - t <br />1. List the types of medical waste generated at your facility (i.e. laboratory wastes, blood or body <br />fluids sharps, contaminated animals, surgical specimens, trace chemo or isolation wastes): <br />bQ sharp S -iroa...Aumo <br />bodu tuids <br />a) Do you generate aM pharmaceutical waste (expired, spent, partials, patient returns)? R Yes ❑ No <br />If yes, describe the type of pharmaceutical waste (expired, spent, partials, patient returns): <br />EXbi"r <br />And estimate the monthly amount of pharmaceutical waste generated at your facility: <br />EHD 45-03 5 <br />2015 <br />
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