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4500 - Medical Waste Program
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PR0522691
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Entry Properties
Last modified
2/23/2023 10:14:33 AM
Creation date
7/3/2020 10:21:07 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0522691
PE
4530
FACILITY_ID
FA0013665
FACILITY_NAME
DAVITA MANTECA DIALYSIS CENTER
STREET_NUMBER
1156
Direction
S
STREET_NAME
MAIN
STREET_TYPE
ST
City
MANTECA
Zip
95336
APN
222-380-080-300
CURRENT_STATUS
02
SITE_LOCATION
1156 S MAIN ST
P_LOCATION
04
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4530_PR0522691_1156 S MAIN_.tif
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EHD - Public
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MEDICAL WASTBOSPECTION REPORT Date: <br /> San Joaquin County Environmental Health Department Program <br /> 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: R Q S Z &q <br /> (209)468-3420 Program <br /> www.siogv.org/ehd Element: S�d <br /> Facility Name Address City Zip Code <br /> Davila Manteca Dialysis Center 1156 s.main st. Manteca 95336 <br /> Facility Contact Title Phone Number Email Inspection Type <br /> Stacey Azcaron Administrative Assistant (209)823-3078 stacy.azcaron@d Routine <br /> avita.com <br /> The above facility is inspected for compliance with Division 104,Part 14 of California Health and Safety Code(HSC). <br /> Registration Treatment <br /> HSC 117890-No LQG shall generate medical waste unless HSC 118130-All onsite medical waste treatment facilities shall <br /> F1 1' registered with the EA. El 17. be permitted by the EA. <br /> HSC 117950-LQG shall register with the EA prior to <br /> El 2' generating medical waste. F-118. HSC 118165-All treatment records shall be kept for 3 years. <br /> ❑ <br /> HSC 117903-Permit from the EA is required prior to treating HSC 118215-All medical waste shall be treated pursuant to 3' medical waste. E] 19" this section. <br /> HSC 117925-SQG that treats medical waste onsite shall HSC 118220-Pathology waste of a human nature shall be <br /> ❑ 4. register with the EA. ❑ 20. disposed of by interment,incineration,or an approved <br /> alternative. <br /> HSC 117900-Shall not haul medical waste unless registered, HSC 118222-Contaminated pathology waste,trace chemo <br /> ❑ 5. common carrier,trauma scene practitioner,or exempted ❑ 21. waste,or pharm waste from health care settings shall be treated <br /> under the MOT exemption. by incineration or an approved alternative. <br /> HSC 117928-Common Storage Facility shall have permit HSC 118225-Sharps waste shall be treated pursuant to this <br /> ❑ 6. issured by the EA. El 22' section. <br /> ❑ 7 HSC 117890-LQG shall notify EA 72 hours prior to Containment/Storage <br /> participating in temporary event. <br /> ❑ <br /> HSC 117895-SQG shall notify EA 72 hours prior to HSC 117630-Biohazard bag shall meet the standards set forth 8' participating in temporary event. ❑ 23' in this section. <br /> HSC 118275-Medical,biohazardous,sharps,trace chemo, <br /> Records/Documentation ❑ 24 pathology,or pharmaceutical waste shall be segregated and <br /> contained pursuant to this section. The container shall be <br /> properly labeled. <br /> ❑ 9. HSC 117935-Registered SQG shall file MWMP with the EA. ® 25. HSC 118280- Biohazard bags shall be containerized and <br /> stored pursuant to this section. <br /> HSC 117943-SQG required to register shall maintain HSC 118285-Sharps waste shall be containerized and stored <br /> F1 10. 26 <br /> treatment and shipping and tracking records for 3 years. ® ' pursuant to this section. <br /> HSC 117945-SQG not required to register shall maintainHSC 118295-Containers shall be washed and decontaminated <br /> ❑ 11. information document and transportation records for 3 years. El27• pursuant to this section. <br /> HSC 118305- Reuseable drums or conainters used for medical <br /> ® 12. HSC 117960-LQG shall file MWMP with the EA. ❑ 28. waste shall not be used for other storage. <br /> HSC 117975-LQG shall maintain treatment and shipping andHSC 118307- Intermediate storage area shall be secured and <br /> ® 13. tracking documents for 2 years. ❑ 29. marked with proper signage. <br /> Transportation ® 30. HSC 118310-Designated accumulation area shall be secured <br /> and marked with proper signage. <br /> ❑ 14. HSC 117946-MOT exemption requirements for SQG. Other <br /> ❑ 15. HSC 117976-MOT exemption requirements for LQG. ❑ 31. <br /> ❑ 16. HSC 118032-Pharmaceutical waste hauling exemption. ❑ 32. <br /> Received by: Print: Stacey Azcaron Signature: � Phone:(209 823-3078 <br /> Specialist: Print Harprit Mattu Sr REHS Signature E Phone:(209)468-3284 <br /> Reinspecion on/about: A reinspection fee of$130 per hour may be charged. Page 1 of 3 <br /> EH-08/2015 9 <br />
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