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COMPLIANCE INFO_2016-2020
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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C
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CALIFORNIA
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4500 - Medical Waste Program
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PR0540777
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COMPLIANCE INFO_2016-2020
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Entry Properties
Last modified
12/29/2022 11:24:58 AM
Creation date
7/3/2020 10:22:01 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2016-2020
RECORD_ID
PR0540777
PE
4530
FACILITY_ID
FA0023311
FACILITY_NAME
DE YOUNG MEMORIAL CHAPEL
STREET_NUMBER
601
Direction
N
STREET_NAME
CALIFORNIA
STREET_TYPE
ST
City
STOCKTON
Zip
95202
CURRENT_STATUS
01
SITE_LOCATION
601 N CALIFORNIA ST
QC Status
Approved
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SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4530_PR0540777_601 N CALIFORNIA_.tif
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EHD - Public
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Field Operations Policy'rocedures CEO <br />SCI or the Company <br />Affiliates of Service Corporation International <br />personal care centers, cemeteries or crematories. <br />that own and operate funeral establishments, <br />Transfer Provider <br />Company personnel or approved contractors responsible for conducting decedent transfers <br />from residences and institutions for transportation to the PCC. <br />Valuables <br />Any items of monetary worth, such as jewelry, money, credit cards, hearing aids or eyeglasses; <br />also items with emotional significance to the decedent and or next-of-kin. <br />Van <br />An enclosed motor vehicle with rear and/or side doors. <br />Vendor <br />A third -party business or individual that provides crematory, mortuary, transport or scattering <br />services for the Company. <br />Visual identification <br />In-person identification of a decedent by the decedent's next-of-kin, authorized representative or a <br />Company representative. <br />Witness of removal <br />A witness to the decedent's removal who is not a Company representative or removal service <br />associate (see Witness of Removal) <br />Appendix A — Required Forms <br />Acknowledgement of Return of Personal Effects <br />The Acknowledgement of Return of Personal Effects Form (FIN-CS109) is used to document <br />what personal effects were returned to the Authorized Representative. The quantity and <br />description of each item must be listed on the form, and the person to whom those items are <br />returned must fill out their name, address and phone number as well as sign the form. The <br />Company representative who returns the items must also sign the form. <br />Authorization for Cremation and Disposition <br />The Authorization for Cremation and Disposition Form (FIN-CS023) is required for cases <br />involving cremation of a decedent and must be signed by the Authorized Representative. The <br />form also provides information on the existence and/or type of mechanical or radioactive devices <br />that might be implanted in a decedent. <br />Authorization for Minimal Preparation <br />Then Authorization for Minimal Preparation Form (FIN-CS018) documents minimal <br />preparations chosen for the decedent by the Authorized Representative when embalming is <br />Version 2.1 Page 65 of 70 Revised: 07/10/2015 <br />Document Owner: Operations Support C 2015 SCI Funeral & Cemetery Purchasing Cooperative, Inc. <br />
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