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COMPLIANCE INFO_1975-2015
EnvironmentalHealth
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4500 - Medical Waste Program
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PR0450024
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COMPLIANCE INFO_1975-2015
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Last modified
2/5/2025 2:48:59 PM
Creation date
7/3/2020 10:18:45 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
1975-2015
RECORD_ID
PR0450024
PE
4524
FACILITY_ID
FA0002493
FACILITY_NAME
GOLDEN LIVING CENTER HY-PANA
STREET_NUMBER
4545
STREET_NAME
SHELLEY
STREET_TYPE
CT
City
STOCKTON
Zip
95207
APN
10425005
CURRENT_STATUS
01
SITE_LOCATION
4545 SHELLEY CT
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4524_PR0450024_4545 SHELLEY_.tif
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EHD - Public
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2. Estimate the monthly amo�} of medical waste (excluding waste pharmaceuticals) generated at <br />your facility: / a <br />3. Describe the medical waste handling procedures utilized by and applicable to your facility, <br />including, but not limited to the following: <br />a. Onsite location and method for segregation, containment, packaging labeling <br />collection, igcluding pharmaceutical waste: i> L,014 <br />b. Storage area description with storage meth ds uZ=11 <br />h waste stream in ud�h- <br />any pharmaceutical waste: _ ® _ <br />c. If medical waste is treated onsite, describe the treatment facility including type of <br />treatment utilized, maximum capacity, time and temperature necessary, alternate <br />conti g ncy plan in case of equipment failure, etc: <br />d. Name, address, registration number and phone number of the registered hazardous <br />waste hauler employed by your facility for biohazardous (excluding pharmaceutical <br />waste) and sharps waste: <br />Name: / <br />Address: <br />Cit State Zip Code <br />Phone: °"' <br />Registration #: (Z <br />e. Name, address, registration number and phone number of the registered hazardous <br />waste hauler employed by your facility for pharmaceutical waste: <br />Name: <br />Address: <br />City State Zip Code <br />Phone: <br />Registration #: <br />f. Name, address and phone number of Offsite Treatment Facility where biohazardous <br />(excluding pharmaceutical waste) and sharps waste is transported for treatment, if <br />different than hauler: <br />Name: <br />Address: <br />City State Zip Code <br />EHD 45-03 6 <br />10/6/2006 <br />
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