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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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y.� <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY <br /> 1868 E. Hazelton Avenue <br /> Stockton, California 95205 <br /> Telephone: (209)468-3420 <br /> Fax: (209)468-8392 <br /> GUIDELINES FOR THE MEDICAL WASTE MANAGEMENTA. <br /> Small quantity generators that provide onsite treatment and all large quantity generators shall have a <br /> Medical Waste Management plan on file with the San Joaquin County Environmental Health Department. <br /> The Medical Waste Management Plan shall contain the following information as appropriate for your <br /> facility: <br /> Business Name: <br /> Business Address: 0)9valu, V1 <br /> City State Z' ode <br /> Phone Number: ( } e <br /> Type of Facility or Business: l C f 1 <br /> REGISTRATION F <br /> ❑ Small Quantity Generator with Onsite Treatment(Generates less than 200 lbs/month). <br /> Large Quantity Generator Only (Generates 200 lbs or more/month). <br /> ❑ Large Quantity Generator with Onsite Treatment(Generates 200 lbs or more/month). <br /> Person responsible for implementation of the Medical Waste Management Plan: <br /> Name: I �' Y Title:.. <br /> 4 <br /> Phone: Date: <br /> I. List the types of medical waste generated at your facility (i.e. laboratory wastes,blood or body <br /> flu°ds, sharps, contaminated animals, surgical specimens,trace chemo or isolation astes): <br /> �Po <br /> 0 <br /> a) Do you generate aM pharmaceutical waste(expired, spent,partials,patient returns)? XYes ❑No <br /> If yesdescribe t e of pharmaceutical waste(expired, spent,partials, patient returns): <br /> ffleds-gb <br /> n V� <br /> And estimate the monthly amount of pharmaceutical waste generated at your facility: a WS <br /> EHD 45-03 5 <br /> 2015 <br />
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