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COMPLIANCE INFO_1993-2006
EnvironmentalHealth
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4500 - Medical Waste Program
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PR0450003
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COMPLIANCE INFO_1993-2006
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Last modified
1/4/2023 2:01:04 PM
Creation date
7/3/2020 10:17:08 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
1993-2006
RECORD_ID
PR0450003
PE
4522
FACILITY_ID
FA0000513
FACILITY_NAME
LODI MEMORIAL HOSPITAL
STREET_NUMBER
975
Direction
S
STREET_NAME
FAIRMONT
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
03107039
CURRENT_STATUS
01
SITE_LOCATION
975 S FAIRMONT AVE
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
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SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4522_PR0450003_975 S FAIRMONT_1993-2006.tif
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EHD - Public
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0 <br />• <br />b. Storage area description with storage methods utilized, including duration <br />and temperature controls, if applicable. Refer to Attachment B and Attachment F <br />C. Onsite treatment facility description, including type of treatment utilized, <br />maximum capacity, time and temperature necessary, alternate contingency <br />plan in case of equipment failure, etc. See Attachment C <br />d. Name, address, registration number, and phone number, of the registered <br />hazardous waste hauler employed by your facility American Environmental Corp. <br />11815 White Rock Road Rancho Cordova, CA 95742 (916) 985 6666 <br />e. Name, address, and phone number of offsite treatment facility where medical <br />waste is transported for treatment, if different than the hauler. <br />same as above <br />f. Do you have a Limited Quantity Hauling Exemption? Who on your staff is <br />authorized to transport your medical waste? N/A <br />g. Do you have tracking documents for all medical wastes handled at your <br />facility? All medical waste generators are required to keep accurate records <br />regarding containment, storage, hauling, treatment and disposal. 111 meldical <br />waste records are to be maintained and available for 3 years. utoc ave graphs <br />and envoices of boxes removed by hauler and treatment contractor <br />h. Describe your medical waste emergency action plan, including procedures for <br />handling spills, exposures, equipment failures, etc. <br />See Attachment D, E, and G <br />I hereby certify that to the best of my knowledge and belief that the statements made <br />herein are correct and true. <br />i <br />SIGNATURE: f TITLE• Administrator DATE: <br />8 <br />
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