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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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TRINITY
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10200
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4500 - Medical Waste Program
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PR0536199
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COMPLIANCE INFO
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Last modified
2/28/2023 9:48:01 AM
Creation date
7/3/2020 10:16:59 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0536199
PE
4520
FACILITY_ID
FA0019962
FACILITY_NAME
Rinaldi Surgery Center, LLC
STREET_NUMBER
10200
STREET_NAME
TRINITY
STREET_TYPE
PKWY
City
STOCKTON
Zip
95219
APN
06602031
CURRENT_STATUS
02
SITE_LOCATION
10200 TRINITY PKWY STE 101
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4520_PR0536199_10200 TRINITY_.tif
Tags
EHD - Public
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Phone: <br /> 7J— <br /> g. Name,address and phone number of Offsite Treatment Facility where pharmaceutical <br /> waste is transported for treatment,if different than pharmaceutical waste hauler: <br /> Name: <br /> Address: U t U S' A611-;j j'-�2 f J <br /> City State Zip Code <br /> Phone: <br /> h. All medical waste generators are required to keep accurate records regarding <br /> containment,storage,hauling,treatment and disposal. All medical waste records area to <br /> be maintained and available for review during inspection for three(3)years. Do you <br /> have tracking documents for all medical wastes handled at your facility: es®No <br /> i. Describe training provided to staff regarding handling,storage,disposal,and record <br /> keeping of all medical waste,including pharmaceutical waste,at your facility: <br /> r tt'1t" - ctt�e' Cir-err�,fr� rC C' O-eaVIry- <br /> e <br /> j. Describe your medical waste emergency action plan, including procedures for <br /> handling spills,exposures,equip hent failures, etc: <br /> t CU ,t'_ G ) <br /> I hereby certify to the best of my knowledge and belief that the statements made herein are <br /> correct and true. <br /> Signature: (OY, <br /> Printed Name: `7j <br /> OLA- <br /> Title: C �•�Cd�zll�' ' <br /> Date: LCrg f 2 Gi , 4C)l <br /> S- <br /> EHD 45-03 ��T�- Q t ' ev. <br />
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