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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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R <br />1. Describe how reusable medical <br />approved cleaning methods): J, <br />darts r containers are <br />C.-P UVIote, <br />in 10 I�U <br />71 � <br />L] <br />decontaminated (see below for <br />ILA.hf� <br />, VX <br />Approved cleaning methods include VIation to remove visible soil combined with one of the following: <br />1. Exposure to hot water of at least 82 degrees Centigrade (180 degrees Fahronlicit) for a minimum <br />of 15 seconds. <br />2. Exposure to chom ical sanitizut- by rinsing with, or immersion in, one of the following for a <br />minimum of three minutes: <br />• Hypochlorite solution (500 ppm available claloritic.) <br />• Pbe"olic, solution (500 ppm active agent) <br />• lodoform solution (100 ppm available iodine) <br />Quatuznary ammonium solution (400 ppin, aotivuagent) <br />in. Describe, if tnodical waste, is treated onsite, a closure plan. for the tormination of treatment, using at a <br />minimum, one of the above referenced approved cleaning methods: <br />I hereby cerfify to the best of my knowledge and belief that the statement& made hIA-cin are correct and true. <br />Printed Nam.�: Aezkty b-f-owcu/t, <br />Title: P�.,NtL Datc: <br />MID 45-03 <br />71015 <br />'d 908 'ON <br />Adk:ti 9[06U'd;S <br />
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