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COMPLIANCE INFO_2004-2020
EnvironmentalHealth
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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
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EHD - Public
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1. Describe how reusable medical waste carts or containers are cleaned and decontaminated(see below for <br /> approved cleaning methods): ® D :S. ra Ed <br /> Approved cleaning methods include agitation to remove visible soil combined with one of the following: <br /> 1. Exposure to hot water of at least 82 degrees Centigrade(180 degrees Fahrenheit)for minimum <br /> of 15 seconds. <br /> 2. Exposure to chemical sanitizer by rinsing with,or immersion 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 /> + Quaternary ammonium solution(400 ppm active agent) <br /> m. Describe,if medical waste is treated onsite,a closure plan for the termination o t� atment,using at a <br /> minimum,one of the above referenced approved cleaning methods: <br /> I hereby certify to the best of my knowledge and belief that the statements made herein are correct and true. <br /> Printed Naive: °� _ I I `2 Signature: <br /> Title:_ C/i M IS` Date;— r <br /> EHD 45-03 8 <br /> 2015 <br />
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