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EnvironmentalHealth
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EHD Program Facility Records by Street Name
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BENJAMIN HOLT
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4500 - Medical Waste Program
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PR0519180
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COMPLIANCE INFO
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Last modified
2/9/2023 4:03:29 PM
Creation date
7/3/2020 10:20:59 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0519180
PE
4530
FACILITY_ID
FA0010525
FACILITY_NAME
DELTA SIERRA DIALYSIS CNTR
STREET_NUMBER
555
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95207
APN
08126029
CURRENT_STATUS
02
SITE_LOCATION
555 W BENJAMIN HOLT DR STE 200
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4530_PR0519180_555 W BENJAMIN HOLT_.tif
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EHD - Public
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f Name, address and phone number of a site treatment facility where biohazardous(excluding <br /> pharmaceutical waste)and sharps waste is transported for treatment,if different than the <br /> hauler: <br /> Name: <br /> Address: <br /> City State Zip Code <br /> Phone: ( ) <br /> g. Name, address and phone number of offsite treatment facility where pharmaceutical waste is <br /> transported for treatment,if different than the Pharinaceutical waste hauler: <br /> Name: OW,"fa VO4 <br /> Address: <br /> City State Zip Code <br /> Phone: <br /> h. Do you handle pharmaceutical waste that isL classified by the federal Drug Enforcement Agency <br /> (AEA)as"controlled substances"? ❑Yes o <br /> If yes, describe:how the"controlled substances"are disposed: <br /> i. All medical waste g6nerators are required to keep accurate records regarding containment, <br /> storage, hauling,treatment and disposal. All medical waste records are to be maintained and <br /> available for review during inspection for two (2)years. Do you have tracking documents for all <br /> medical wastes handled at your facility?: Yes ❑No <br /> j. Describe training provided to staff regarding handling, storage, disposal, and record cep" g of <br /> all medical waste,including pharmaceutical waste, at your facility: <br /> k. Describe your medical waste emergency action,plan, including procedures for phlin pills <br /> exposures, equipment failures, etc. (attach information as necessary): <br /> EHD 45-03 <br /> Received Time Aug, 1. 2016 12: 57PM No. 1609 ? <br />
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