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COMPLIANCE INFO_2016-2020
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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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
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4530_PR0540777_601 N CALIFORNIA_.tif
Tags
EHD - Public
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Field Operations Policy and Procedures (fo <br />middle names with only the first letters of each capitalized) <br />2. Case ID number, if applicable <br />3. Contract number, if applicable <br />4. Location name and number of the funeral home <br />5. Date of birth <br />6. Date of death <br />2.2 Forms <br />Policy. All required forms must be completed and signed by the appropriate individuals <br />(Company representatives and/or the Authorized Representative). <br />Note: See Appendix A — Required Forms for information on specific forms used in this <br />document. <br />Procedure. <br />1. Retain original copies of forms at the funeral home in the decedent's case file. <br />2. Give copies of forms to the Authorized Representative if he/she signed those forms. <br />2.3 Form Modifications <br />Policy. Modifications or variations to any form format must be submitted to and approved by <br />the Operations Support and the Legal Departments before they are used. <br />Procedure. <br />1. Contact the Operations Support Department (FieldOpsSupportgsci-us.com) for <br />requested modifications. <br />2.4 Decedent Name on Forms and Identification Band <br />Policy. The full legal name of the decedent must be used on all forms and the white <br />identification band (see White Identification Band). Any AKA (Also Known As) can be used <br />jointly with the decedent's full legal name but not on its own. <br />Example for a decedent whose full legal name is PREWITT, Robert Allen and goes by Bob: <br />Not acceptable — PREWITT, Bob Allen <br />Acceptable — PREWITT, Robert "Bob" Allen or <br />PREWITT, Robert Allen AKA PREWITT, Bob Allen <br />Version 2.1 Page 5 of 70 Revised: 07/10/2015 <br />Document Owner: Operations Support 0 2015 SCI Funeral & Cemetery Purchasing Cooperative, Inc. <br />
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