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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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BENJAMIN HOLT
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555
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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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1. Describe how reusable medical waste carts or cont ' ers a cleaxted and decontaminated(see below for <br /> approved cleaning methods): <br /> Approved cleaning methods include agitation to remove visible soil cpInbined with one of the following: <br /> 1. Exposure to hot water of at least 82 degrees Centigrade(1.80 degrees Fahrenheit)for a mir i um <br /> of 15 seconds. <br /> 2. Exposure to chemical sanitizer by rinsing with,or i=ersion in,one of the following for a <br /> minimum of three minutes: <br /> • Hypochlorite solution(500 ppm available chlorine) <br /> • Phenolic solution(500 ppm active agent) <br /> • Iodoform solution(100 ppm available iodine) <br /> • . Quatemary ammonium;solution(400 ppiiz active agent) <br /> zn. Describe,if medical waste is treated onsite,a closure plan for the tercx&ation of treatment,using at a <br /> minimum, one of the above referenced approved cleaning methods: /� -- <br /> T hereby ceirtrify to the best of my knowledge and belief that the statements made herein are correct and true. <br /> Printed Name: Signature:AAW—Qmi�& <br /> o P + _ <br /> ';Title: � Date: <br /> Received Tlme Aug, 1, 2016 12: 57PM No, 1609 8 <br />
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