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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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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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2. Estimate the monthly amount of medical waste(excluding waste pharmaceuticals)generated at <br /> your facility: S j ' e 1-1 <br /> 3. Describe the medical waste handling procedures utilized by and applicable to your facility, <br /> including,but not limited to the following: <br /> a. Onsite location and method for segregation,containment,packaging,labeling and <br /> collection,including pharmaceutical waste: <br /> 5AXC� o f f a /,fvCc ®e 5 <br /> �® b. Storage area description with storage methods utilized for each waste stream'ncluding <br /> any pharmaceutical waste: 144W--^f <br /> Z <br /> r / <br /> a ` <br /> s <br /> c. If medical waste is treated onsite,describe the treatment facility including type of <br /> treatment utilized,maximum capacity,time and temperature necessary,alternate <br /> contingency plan in case of equipment failure,etc: <br /> d. Name,address,registration number and phone number of the registered hazardous <br /> waste hauler employed by your facility for biohazardous(excluding pharmaceutical <br /> waste)and sharps waste: <br /> Name: ! f v <br /> Address: i4a/[' a at c c <br /> City State Zip Code <br /> Phone: 7 0 3 " <br /> 7 7— <br /> Registration#: A2�-O U eC- '�--;®• 3 f ,-,'-u/ 2-- <br /> e. Name,address,registration number and phone number of the registered hazardous <br /> waste hauler employed by your facility for pharmaceutical waste: <br /> Name: <br /> Address: Vii s <br /> City State Zip Code <br /> Phone: <br /> Registration#: <br /> f. Name,address and phone number of Offsite Treatment Facility where biohazardous <br /> (excluding pharmaceutical waste)and sharps waste is transported for treatment, if <br /> different than hauler: <br /> Name: ( e ti, Z7rC , <br /> Address: I C.- . <br /> City State Zip Code <br /> EHD 45-03 <br /> 10/6/2006 <br />
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