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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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E. 45-03 <br />2015 <br />f. Mune, address and phone number of offsite treatment facility where biohazardous (excluding <br />pharmaceutical waste) and sharp.4 waste is transported for treatment, if different than the <br />hauler: Name: <br />Address: <br />"-j State 733 Code <br />Phone: WN <br />g. Name, address and phone number of offsite treatment facility where pharmaceutical waste is <br />transported lbr treatment, if different than the pharmaceutical waste hauler-, <br />Name:Stevi. c(t, Inc.. <br />Address: <br />. %I'L.� W, V. <br />IA 14 A rA M <br />Ully NLaLc 7dp Code <br />Phone: (Q[6) WbG <br />h. Do you handle pharmaceutical waste that is classified by the federal Drug Enforcement Agency <br />(DFA) as "controlled substances"? n Yes g No <br />If yes, describe how the "con troJ led substances" are disposed: fl <br />L All medical waste generators are required to keep accurate records mgrarding containment, <br />storage, torage, baulirig, 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 document.-, for all <br />medical wastes handled at your f4cility?: R Yes E] No <br />j. Describe training provided to staffregarding handling, storage, disposal and recordI—eping 9f <br />a4 medical waste, including pharmaceutical waste, yo 11tv: RnUtL-54�VLt <br />reC -U ► i n- t'6, $AeA-4 6-,�Lp <br />W,V e.�L WL <br />UANWte, <br />_ .f IWJA-- <br />k. Describe your medical, waste emergency action plan, including procedt Ims f., r I ling ill <br />'I t <br />am ur-es, etc. (attar as -necessary): <br />expQsures, equipment failures, <br />LAA -kuda",Mlt 341 PA/M 41) Ikon -A <br />4-L,-r <br />tMAU'lez Low, 1,/Yl �AA <br />EF <br />9 <br />ej <br />tr 'd 9M 'ON Ad l 1: � 9 1 OZ V 'd;S <br />
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