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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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4500 - Medical Waste Program
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PR0450031
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COMPLIANCE INFO
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Entry Properties
Last modified
2/9/2023 1:13:59 PM
Creation date
7/3/2020 10:19:18 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0450031
PE
4524
FACILITY_ID
FA0000517
FACILITY_NAME
VIENNA CONVALESCENT HOSPITAL
STREET_NUMBER
800
Direction
S
STREET_NAME
HAM
STREET_TYPE
LN
City
LODI
Zip
95242
APN
03308012
CURRENT_STATUS
02
SITE_LOCATION
800 S HAM LN
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4524_PR0450031_800 S HAM_.tif
Tags
EHD - Public
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2. Estimate the monthly amount of medical waste(excluding waste pharmaceu 'caI )generated at your <br /> facility: a 0-. • C " <br /> 3. Describe the medical waste handling procedures utilized by and applicable to your facility,including, <br /> but not limited to the following: <br /> a. Onsite location and method for segregation,containment, acaging,I belimg and collection, <br /> including pharmaceutical waste: e t Gt. <br /> b. Storage area description wi storage methods t'lize for eac waste stream including any <br /> pharmaceutical waste: <br /> c. If medical waste is treated onsite,describe the treatment facility including type of treatment <br /> utilized,maximum capacity,t'� e and tempera ece�sary, ernate contingency plan in case <br /> of equipment failure, etc.: <br /> d. Name,address,registration number and phone number of the registered hazardous waste <br /> hauler employed by your facility for biohazardous (excluding pharmaceutical waste)and <br /> sharps waste: <br /> Name: --e( ,c SIC: <br /> Address: _q69 9 <br /> . ? > <br /> state Zip Code <br /> Phone: ( i L) ct R <br /> Avty s` 550(o <br /> (o <br /> Registration#• IS I ut->T <br /> e. Name,address,registration number and phone number of the registered hazardous waste <br /> hauler or common carrier employed by your facility for pharmaceutical waste: <br /> Name: " . <br /> Address: qO <br /> c <br /> City State Zip Code <br /> Phone: ( o l ) ( 10. 1 <br /> Registration#: A-4 j _3 <br /> ERD 45-03 6 <br /> 2015 <br />
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