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COMPLIANCE INFO_LEAD
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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K
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KETTLEMAN
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1610
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4500 - Medical Waste Program
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PR0526718
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COMPLIANCE INFO_LEAD
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Entry Properties
Last modified
7/24/2025 9:23:03 AM
Creation date
7/3/2020 10:21:09 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0526718
PE
4530 - LG QUANITY GENERATOR
FACILITY_ID
FA0018090
FACILITY_NAME
LODI DIALYSIS CENTER
STREET_NUMBER
1610
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95242-3731
APN
05826040
CURRENT_STATUS
Active, billable
SITE_LOCATION
1610 W KETTLEMAN LN STE D
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4530_PR0526718_1610 W KETTLEMAN_.tif
Site Address
1610 D W KETTLEMAN LN LODI 95242-3731
Suite #
D
Tags
EHD - Public
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2. Estimate the monthl amount o medical waste (excluding waste pharmaceuticals) generated at <br />your facility: ,l( . <br />3. Describe the medical waste handling procedures utilized by and applicable to your facility, <br />including, but not limited to the following: <br />a. Onsite location and method for segregation, containment, packaging, labeling and <br />i c411ection, inSluding pharmaceutical waste: P <br />b. Storage area description with s rage methods&4'4�''rw <br />'zed for each waste stream including <br />MMharmaceuti al waste: <br />waste: <br />!, I <br />c. If medical waste is treated onsite, describe the treatment facility including type of <br />treatment utilized, maximum capacity, time and temperature necessary, alternate <br />contingency plan in case of equipment failure, etc: <br />d. Name, address, registration number and phone number of the registered hazardous <br />waste hauler employed by your facility for biohazardous (excluding pharmaceutical <br />waste) and sharps waste: <br />Name: C�1 <br />Address: 1 Z7 <br />C <br />City State Zip Code <br />Phone: <br />Registration #: <br />e. Name, address, registration number and phone number of the registered hazardous <br />waste hauler employed by your facility for pharmaceutical waste: <br />Name: <br />Address: U —5,11nt 43 alno ge . <br />City State Zip Code <br />Phone: <br />Registration M <br />f. Name, address and phone number of Offsite Treatment Facility where biohazardous <br />(excluding pharmaceutical waste) and sharps waste is transported for treatment, if <br />different than hauler: <br />Name: <br />Address: <br />City State Zip Code <br />EHD 45-03 6 <br />10/6/2006 <br />
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