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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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1. Describe how reusable medical waste cartsr containers are cleaned and decontaminated(see below for <br /> approved cleaning methods): C l,Ue{ te' Otre- W <br /> 014 oz,, cJ� <br /> Approved cleaning methods include agitation to remove visible soil combined with one of the following: <br /> 1. Exposure to hot water of at least 82 degrees Centigrade(180 degrees Fahrenheit)for a minimum <br /> of 15 seconds. <br /> 2. Exposure to chemical sanitizer by rinsing with, or immersion in, one of the following for a <br /> minimum of three minutes: <br /> • Hypochlorite solution(500 ppm available chlorine) <br /> • Phenolic solution(500 ppm active agent) <br /> • Iodoform solution(100 ppm available iodine) <br /> • Quaternary ammonium solution(400 ppm active agent) <br /> in. Describe, if medical waste is treated onsite, a closure plan for the termination of treatment, using at a <br /> minimum, one of the above referenced approved cleaning methods:_M A <br /> I hereby certify to the best of my knowledge and belief that the statements made h ein are correct and true. <br /> Printed Name: Hd- 'L' C-O-Ye'tt Signature: <br /> Title: N [� ACIt tom( Date: <br /> EHD 45-03 8 <br /> 2015 <br />
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