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COMPLIANCE INFO_2007-2019
EnvironmentalHealth
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4500 - Medical Waste Program
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PR0450003
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COMPLIANCE INFO_2007-2019
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Last modified
1/4/2023 2:01:37 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
2007-2019
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_2007-2019.tif
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EHD - Public
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JAN-03-2007(WE0) 16: 11 LMH cilities Management (FAX) 339 7672 P. 003/004 <br /> MMORANIDUM <br /> TO: Distribution <br /> FROM: Gayle Moses <br /> Facilities Management <br /> DATE: -December 6.2006 <br /> SUBRCT: Limited Quantity Hauling Exemption Documents <br /> Attached is your copy of the current year limited Quantity Haulvng Exemption Documents issue <br /> Joaquin Public Health Services and the approved List of employees��ranted exemption. d by San <br /> While transporting medical Waste,you must have in your possessson these documents identifying an authorized transporter as listed on the second page. In addition to this documents <br /> a Medical Waste Tracking Doeurnertt form specifying the type addition <br /> medical waste and i � g You as <br /> n,you must also have <br /> authorized transporter must complete the tracking document the y forms medical <br /> s is destination. Each <br /> It is required that Lalli Memorial Ijospital maintain these documents including signature,prior to transport. <br /> and make them available to the inspectors upon request It is you responsibility to Complete for a period not less than three years <br /> documentation and have it with the waste being transported at all times prior to final Processing of <br /> Waste. All completed forms must be forwarded to for inns p the necessary <br /> pector review. g the <br /> Please make copies of Mink forms for your future use as needed. If you have questions or concis <br /> Please call me at 339-7668. <br /> Thank y6u, <br /> Gayle Moses <br /> Safety/Security Officer <br /> Distribution: <br /> Last First D arhncnt Last <br /> Bari as Toni Clillics 1'Yrst De artboent <br /> Somera Shannon Clinics Schulz Donna kducatioo Laht First D artment <br /> Crawford Dem Ncwb TeMiller Michelle Flog Health <br /> Clinics Jen&ins 5ducatf�r Moat Merl <br /> Rcrnaud= Catherine Clinics M LOU FAUcation F'aolctli I3nMCHealth <br /> Lc.7r Orte on tonna Em .FIealth Sharon I40me Elcalth <br /> Clinics uint <br /> Nordr„11 Lisa Matth Diana MS int J F3omcHealth <br /> Schneider Pamela Clinics Real Sc' ere! Infect Cant David home Health <br /> SwarCc cod Kath Radotic Rose 14 <br /> Clinics Starr e�Heahh <br /> Murk Tami Clinics MOS Gn Io Safct Off. Stormcs HomeIicaltl� <br /> Dave Laborato Wolfe Home lteatth <br /> Charles Van S n aborl", <br /> Bird Sand Home Health Linda HomeNcalrh <br /> Flan an Trish Barba Patti }lome.Health Atwater <br /> M oza TSna Braubitz Linda Horne Health $'� fyhantu�c <br /> Petrone Camucho FAna Ytt T It <br /> P Melanie I aborat Fd lioane Health IA Aeofllsac <br /> oeoraba Linda L�,boratdcnc Homellealth Salim home h>ibsion <br /> Provencio Joanne �&u�t Elliott1 tJackie HomeFlealtle Moham�uud Ilomeinfirsion <br /> Wells Max � t rlossn— Mr. Home FIealth Rra� her <br /> Breiurta;a Rolman Jeanifct Collcen <br /> Kcal y9�t Home health Parish Nurse <br /> Saito Linda Httckab Cathlea, Cieor exon Deb <br /> Lvborat Homc health Parish Nurse <br /> Noel Moreno 14 brat lormmt o � Homcl;calth Riddle Nan Parish Nurse <br /> KatTOn Rome Health Naomi Parish <br /> Fdc:SalliJ <br /> Joa u' Schmidt LaVemc Parish Nurse <br /> 9 lit County Public Health <br /> Memo,Limned Waste,12W6 <br /> N:uracMgl�DMIMEOCVIarMa'tMln�2007 7�rrliled Q-11 ity Fluuling armpuoll Documenls clot <br />
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