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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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MEDICAL WASTAPECTION REPORT Date: <br /> tl lei 1-1 <br /> San Joaquin County Environmental Health Department Program <br /> i c <br /> !�' { 1868 E.Hazelton Ave.,Stockton,CA 95205 Record: t <br /> (209)468-3420 Program 4 5-3y <br /> t Foal? www.siogv.om/ehd Element: <br /> Observations and Corrective Actions: <br /> 13. This registered large quantity generator does not maintain individual treatment records. <br /> -A large medical waste generator required to register with the EHD shall maintain individual treatment operation records, and <br /> shipping and tracking documents for all untreated medical waste shipped offsite for treatment for 2 years. HSC117975(a) Ensure <br /> subsequent tracking record shows the treatment method. Submit a copy of tracking record that shows the treatment <br /> method used with in 30 days. <br /> Notes: <br /> 1. Facility uses Stericycle as their medical waste hauler. <br /> 2. Tracking records were available for review. <br /> 3. The updated Medical Waste Management Plan was available for review. <br /> 4. Facility does not generate control substance. <br /> - (f <br /> Reinspecion on/about: A reinspection fee of$152 per hour may be charged. Page 2 of 2 <br /> EH-11/17 <br />
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