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COMPLIANCE INFO_2004-2020
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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4500 - Medical Waste Program
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PR0522690
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COMPLIANCE INFO_2004-2020
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Last modified
4/12/2024 11:20:32 AM
Creation date
7/3/2020 10:21:04 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2004-2020
RECORD_ID
PR0522690
PE
4530
FACILITY_ID
FA0010846
FACILITY_NAME
DAVITA TRACY DIALYSIS
STREET_NUMBER
425
Direction
W
STREET_NAME
BEVERLY
STREET_TYPE
PL
City
TRACY
Zip
95376
APN
23307526
CURRENT_STATUS
01
SITE_LOCATION
425 W BEVERLY PL STE A
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4530_PR0522690_425 W BEVERLY_.tif
Tags
EHD - Public
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SAN JOAQUIN COUNTY 0 Date `0 1D <br /> ENVIRONMENTAL HE LTH DEPARTMENT PR o 52,d1o`l0 <br /> 600 East Main Street, Stockton, CA 95202 <br /> (209)468-3420 <br /> MEDICAL WASTE INSPECTION FORM <br /> cili av; 'r^ IaLh ��'ul 5t — cili r ss `AaS W. Q eve rlw Pl�tw A <br /> cili c Anicwn Title ru4'13 Admin. hone# oel 9-0358 <br /> INSPECTION TYPE: i []Complaint EiRe-inspection <br /> VIOLATION(S) <br /> Registration THE ITEMS BELOW REPRESENT VIOLATIONS OF THE CALIFORNIA <br /> _1.HSC Section 117955-Large Quantity HEALTH & SAFETY CODE (HSC): <br /> Generator shall register with the enforcement <br /> agency.prior to commencement of the generation of <br /> medical waste. f U 6 LkC". Im. 1 <br /> 2.HSC Section 117903-Permit from the <br /> en_forcement agency required to treat medical [ <br /> waste. <br /> _3.HSC Section 117890-No large LQG shall <br /> generate medical waste unless registered with the <br /> enforcement agency. k <br /> _4.HSC Section 117895-SQG that treats med <br /> waste shall register with enforcement agency. <br /> _5.HSC Section 117900-Shall not haul med <br /> waste unless registered or obtained LQHE. <br /> _6.HSC Section 117903-Shall not treat med 3 [aa do S nc A,,ccs <br /> waste without permit from enforcement agency. 1� ` ` S 1 <br /> _7.HSC Section 117908-Common Storage �r �[ <br /> facility shall be registered with local enforcement <br /> agency. <br /> Procedures <br /> _8.HSC Section 117935-SQG MWMP ONA <br /> _9.HSC Section 117943-SQG Shall keep <br /> records for 3 years. UO�AMPAk Ajn m Q L(S 1 V c.tl -D <br /> _10.HSC Section 117945-SQG not required to e <br /> register shall keep records for 2 years. ! t,r,.N <br /> 11.HSC Section 117960-LQG shall file MWMP <br /> with enforcement agency. QI An' 1 V(VtA &k � L t sl 11__ <br /> _12.HSC Section 117975-LQG shall keep w>n T r <br /> records for 3 years. <br /> Transportation i '� i <br /> _13.HSC Section 118030-LQHE application. , <br /> Treatment/Stora a q4yf.() <br /> _14.HSC Section 118135-Shall obtain a permit <br /> from the enforcement agency to treat medical <br /> waste prior to treating the waste. <br /> _15.HSC Section 118765-All treatment records <br /> shall be kept for 3 years. <br /> _16.HSC Section 118215-All medical waste <br /> shall be treated pursuant to this section. <br /> _17.HSC Section 118220-Recognizable human <br /> anatomical parts shall be disposed of by interment <br /> unless otherwise hazardous. <br /> _18.HSC Section 118225-Treated sharps shall <br /> be destroyed or somehow prevent public access. <br /> _19.HSC Section 118275-MW red bags,path, <br /> chemo shall be labeled properly. <br /> _20.HSC Section 118280-MW label&contain <br /> _21.HSC Section 118285-Sharps label/contain <br /> _22.HSC Section 118295-Proper decon used. <br /> _23.HSC Section 118307-Interim storage labeled <br /> 24.HSC Section 118310-Enclosure labeled. <br /> _25.HSC Section 118305-Cannot reuse drums <br /> ',R.HSC Section 117630-Approved biohazard a <br /> -in 118275(g)-Pharm label/store <br /> >n 118222-Incineration Required Inspeckbr Signature Received By Date <br /> xibe in narrative. <br /> PA �E a <br />
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