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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 month "III ofinedical waste (excluding wEvite phannaceuticals) generated at your <br />facility. VIM) <br />3. Describe the medical waste handling procedures utilized by and applicable to your facility, including, <br />but not limited to the I W) owing. <br />a. Onsite location and method for scgrqgqt1on, c <br />incl ,d' pharmuccutical waste: Abloqi <br />hj'A (AA-LV'j vj� Filu e <br />L Z1, <br />4A (I CD uja3�t. yiu- C. <br />.1 <br />��.�0" Vo , TkF L&,UA <br />wd� aid <br />b. Storage area description with storage methods <br />M <br />pharmaceutical waste: 01AAJQ <br />10) 0 A .-W -_6MAJ-h - V -14i -eM <br />packag 41, labeling and collection., <br />A <br />tom. 01 VjCV2,4WJ '5j1.'1r4L!7e- rbaM <br />utilized for each waste stream including any <br />_d <br />LOX IL <br />c. If medical waste is treated onsite, describe the Ireatmmt facility including type of treatment <br />utilized, maxiniuva capacity, time and te"perature necessary, alternate contingency plan jD. case <br />of equipment failure, etc.: MA - <br />d. Name, address, registration number and phone numbor ol'theTegistered hazardous waste <br />hauler employed by your facility for hiahazardous (excluding pharmaceutical waste) aTid <br />sharps waste: <br />Nanie: <br />Address: K,4e, <br />city state Zip Codu <br />Phone: 3-1(4 21 -t - <br />Registration <br />e. Name, address, registration number and phone number of the registered hazardous waste <br />hauler or common carrier ernployed by your facility Aw pharmaceutical waste: <br />Name: St eltA, C (At rC. C, <br />Address: <br />WhAkC' tU- AWL <br />—Rax 0 co -I'd ova-, 2, <br />City "tate Zip Code <br />Phone: L50).lb-b- iq2/2- <br />RegisLration —0 17-0 Z -?2 I <br />EHD 45-03 6 <br />12011 <br />E 'd 9M 'ON Ndll:� 910A;S <br />
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