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COMPLIANCE INFO_LEAD
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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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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f. Name, address and phone number of offsite treatment facility where biohazardous (excluding <br /> pharmaceutical waste) and sharps waste is transported for treatment, if different than the <br /> hauler: <br /> Name: S+Cr4 G (jc I Vic <br /> Address: Sf I', <br /> \1(A- & '► � <br /> —� State Zip Code <br /> Phone: (9t(,,) 1(65-Wo® <br /> g. Name, address and phone number of offsite treatment facility where pharmaceutical waste is <br /> transported for treatment, if different than the pharmaceutical waste hauler: <br /> Name: Ste'r( rel , Inc <br /> Address: L° b✓- <br /> T;nel 3 <br /> Ci State Zip Code <br /> Phone: (a lb) U5 -1-3�-bG <br /> h. Do you handle pharmaceutical waste that is classified by the federal Drug Enforcement Agency <br /> (DEA) as "controlled substances"? ❑ Yes N No <br /> If yes, describe how the "controlled substances" are disposed: <br /> i. All medical waste generators are required to keep accurate records regarding containment, <br /> storage, hauling, treatment and disposal. All medical waste records are to be maintained and <br /> available for review during inspection for two (2) years. Do you have tracking documents for all <br /> medical wastes handled at your facility?: Yes ❑ No <br /> j. Describe training provided to staff regarding handling, storage, disposal? and reco dteeping of <br /> 41 medical waste, including pharmaceutic4l wastez� yo cility, hU <br /> Ive � 6�g - I Y I A C <br /> k. Describe your medical waste emergency action plan, including proced es f rar ling pills, <br /> exposures, equipment failures, etc. (attac information as necessary): i C�/ C� <br /> un Ve/A-tnv-vt , i 0 L <br /> I ' LA C k- ve, srAlli!IAO(h� MAA <br /> i® 410 0U-3 JJV 0,14, <br /> "�. <br /> EHD 45-03 7 <br /> 2015 <br />
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