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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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FAIRMONT
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4500 - Medical Waste Program
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PR0536153
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COMPLIANCE INFO
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Entry Properties
Last modified
2/23/2023 2:19:11 PM
Creation date
7/3/2020 10:21:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0536153
PE
4530
FACILITY_ID
FA0019928
FACILITY_NAME
ENDOSCOPY CENTER OF LODI LLC
STREET_NUMBER
840
Direction
S
STREET_NAME
FAIRMONT
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
03308045
CURRENT_STATUS
02
SITE_LOCATION
840 S FAIRMONT AVE STE 1
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4530_PR0536153_840 S FAIRMONT_.tif
Tags
EHD - Public
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1. Describe how reusable medical waste carts or containers are cleaned and decontaminated(see below for <br /> apgved cleanipp,�methoap) <br /> N0 W-UlabtC MAC41 Walit Corti. <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(1.80 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 /> m. Describe,if medical waste is treated onsite,a closure plan for the termination of treatment, using at a <br /> min' um,onee of the abovg referenced approved cleaning methods: <br /> '�ftai an dfc. <br /> I hereby certify to the best of my knowledge and belief that the statements made herein are correct and true. <br /> Printed Name: 1�- R 4 1A, Signature: f <br /> Title: yn ni S q,-TD C Date: '® •Iq • 'S <br /> EHD 45-03 8 <br /> 2015 <br />
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