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COMPLIANCE INFO
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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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°"'" MEDICAL WASTASPECTION REPORT <br /> Date: <br /> o0 7/2)-1110 <br /> San Joaquin County Environmental Health Department <br /> Program tl <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: <br /> (209)468-3420 Program <br /> oq<<F'6R`'P www.siogv.org/ehd Element: u 53 <br /> Observations and Corrective Actions: <br /> 12. The medical waste management plan(MWMP) does not contain all information listed in HSC 117960. <br /> - MWMP shall contain all information listed in HSC 117960. HSC117960—Submit within 30 days. <br /> 13. This registered large medical waste generator does not maintain individual treatment records and shipping and <br /> tracking documents for 2 years. <br /> -A large medical waste generator required to register with the EHD shall maintain individual treatment operation <br /> records, and shipping and tracking documents for all untreated medical waste shipped offsite for treatment for 2 years. <br /> HSC117975(a)-Submit a copy of one treatment record within 30 days. *Corrected on site. <br /> Notes: 1. The medical waste permit was posted. <br /> 2. Stericycle is the medical waste hauler. <br /> Reinspecion on/about: A reinspection fee of$130 per hour may be charged. Page 2 of 2 <br /> EH-08/2015 <br />
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