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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
9/8/2025 11:11:27 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
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 monthlq4omoount of medical waste (excluding waste pharmaceuticals) generated at your <br /> facility: <br /> 3. Describe the medical waste handling procedures utilized by and applicable to your facility, including, <br /> but not limited to the following: <br /> a. Onsite location and method for segr tion, cpnta'nment, packaging, labeling and collection, <br /> waste: <br /> including pharmaceutical 1 D U 1 Idd"-e e- 1 S <br /> ifivivx- <br /> e�? -e —� <br /> Iain <br /> I l M Com. c� `� �'� e— n c:M <br /> b. Storage area description with storage methods utilized for each waste stream including any <br /> pharmaceutical waste: I0 aAJ vLSS tk) m X f <br /> U <br /> c. If medical waste is treated onsite, describe the treatment facility including type of treatment <br /> utilized, maximum capacity,time and temperature necessary, alternate contingency plan in case <br /> of equipment failure, etc.: <br /> d. Name, address, registration number and phone number of the registered hazardous waste <br /> hauler employed by your facility for biohazardous (excluding pharmaceutical waste) and <br /> sharps waste: <br /> till <br /> Name: ,6�I , <br /> ( � <br /> Address: ( 1 e e4c 44 <br /> R&K,6 a f0-y-etcV& (-A 9 5-1 q 2- <br /> city <br /> City State Zip Code <br /> Phone: b(o ) 7 e 3-7 Lf ZZ <br /> Registration#: ®I 2-j I <br /> e. Name, address, registration number and phone number of the registered hazardous waste <br /> hauler or common carrier employed by your facility for pharmaceutical waste: <br /> Name: T 1 C� <br /> Address: I M-117 & YLO CV- k a <br /> VZvUQ CO-rd ova -qg 7q �. <br /> Ci State Zip Code <br /> Phone: ( 8(J) 7b - <br /> Registration#: 0 C � <br /> EHD 45-03 6 <br /> 2015 <br />
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