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COMPLIANCE INFO_2011-2019
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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4454 - Kennel Program
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PR0536168
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COMPLIANCE INFO_2011-2019
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Entry Properties
Last modified
7/15/2025 9:30:51 AM
Creation date
7/3/2020 10:19:48 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4454 - Kennel Program
File Section
COMPLIANCE INFO
FileName_PostFix
2011-2019
RECORD_ID
PR0536168
PE
4524 - SKILLED NURSING FACILITY
FACILITY_ID
FA0011262
FACILITY_NAME
WINDSOR ELMHAVEN CARE CENTER
STREET_NUMBER
6940
STREET_NAME
PACIFIC
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
08126030
CURRENT_STATUS
Active, billable
SITE_LOCATION
6940 PACIFIC AVE
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4524_PR0536168_6940 PACIFIC_.tif
Site Address
6940 PACIFIC AVE STOCKTON 95207
Tags
EHD - Public
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LES '°N 04 61H 'lZ 'unr ani niaua� <br /> i <br /> SAK <br /> i <br /> J1 Environmental Health Department <br /> C OU N TY---- <br /> GUIDELINES FOR THE MED <br /> Y---°1 LI I L WASTE MANAGEMENTL <br /> Small quantity generators that provide onsite treatment and all large quantity generators shall have a Medical Waste <br /> Management plan on file with the San Joaquin County Environmental Health Department. The Medical Waste <br /> Management Plan shall contain the following information as appropriate for your facility: <br /> Business Name: <br /> Business Address. <br /> City State Zip Code <br /> Phone Number:,( ) <br /> Contact Person: Phone Number(if different from above):1 ) <br /> Type of Facility or Business: <br /> Registration for: <br /> ❑ Small Quantity Generator with Onsite Treatrnent(Generates less than 200 lbs/month). <br /> [v]� Large Quantity Generator Only(Generates 200 lbs or more/month). <br /> ❑ <br /> Large Quantity Generator with Onsite Treatment.(Generates 200 lbs or more/month). <br /> Person responsible for implementation of the Medical Waste Management Plan: <br /> Name: 1g'Lel i re 2' Title: R A' -T1-4A.K.E- 4J ACO-v <br /> Phone: 2.(A— �01:1 Date: al l? Lel <br /> 1. List the types of medical waste generated.at your facility(i.e.laboratory wastes,blood or body fluids,sharps, <br /> cont urinated ni cls, surgi al specimens,trace chemo or isolation wastes)' <br /> SN4,r S <br /> s9�a as�c�I <br /> Do you generate any pharmaceutical waste(expired, spent, partials, patient returns)? es❑ No <br /> If yes, describe the type of pharmaceutical waste(ex re�, st, 6rt <br /> Is, pati turns); <br /> And estimate the monthly amount of pharmaceutical waste generated at your facility.- <br /> 2. <br /> acility:2. Estimate the monthly amount of medical waste (excluding waste pharmaceuticals)generated at your facility: V —ILV ' <br /> 3. Describe the medical waste handling procedures utilized by and applicable to your facility, including, but not limited <br /> to the following: <br /> a. Onsite location and method for segregation,containment, packaging, labelling and wilection, including <br /> e ha ac®utlouuas -`',4a c' %k�,�'I m �i car !�i <br /> 5of8 <br />
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