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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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KETTLEMAN
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1110
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4500 - Medical Waste Program
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PR0537019
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COMPLIANCE INFO
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Entry Properties
Last modified
7/11/2025 3:58:27 PM
Creation date
7/3/2020 10:22:14 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0537019
PE
4532 - SM QUANITY GENERATOR
FACILITY_ID
FA0021255
FACILITY_NAME
BELLA TERRA DENTAL
STREET_NUMBER
1110
Direction
W
STREET_NAME
KETTLEMAN
STREET_TYPE
LN
City
LODI
Zip
95240
APN
06037003
CURRENT_STATUS
Inactive, non-billable
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4532_PR0537019_1110 W KETTLEMAN_.tif
Site Address
1110 W KETTLEMAN LN LODI 95240
Tags
EHD - Public
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2. Estimate the monthly amount of medic tl waste(excluding waste pharmaceuticals)generated at <br /> your facility:_,a ta*,.% z L. <br /> 3. Describe the medical waste handling procedures utilized by and applicable to your facility, <br /> including,but not limited to the follow ung: <br /> a. Onsite location and method foi segregation,containment, packaging, labeling and <br /> collection, including pharmaceutical waste: 0,�- <br /> �.®..-��. ` v+.c s-• l c`e z-��� S Z w.�_ a� 2 Srr �h x�a.�c d. <br /> b. Storage area description with storage methods utilized for each waste stream i cluding <br /> any pharmaceutical waste:4,K,.% r t C. <br /> c. If medical waste is treated ons te,describe the treatment facility including type of <br /> treatment utilized,maximum capacity,time and temperature necessary,alternate <br /> contingency plan in case of eq iipment failure, etc: <br /> G <br /> d. Name, address, registration number and phone number of the registered hazardous <br /> waste hauler employed by yo ar facility for biohazardous(excluding pharmaceutical <br /> waste)and sharps waste: <br /> Name: _ <br /> Address: <br /> City State Zip Code <br /> Phone: <br /> Registration#: <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: 5 r SCO <br /> Address: <br /> ®M. 7 70S' <br /> City State Zip Code <br /> Phone: L16 CIO) 7 a- — 5(-�.�� <br /> Registration#: T D 14 1 7 tI f - T A a g�" 7► <br /> f. Name, address and phone nun iber of Mite Treatment Facility where biohazardous <br /> (excluding pharmaceutical waste)and sharps waste is transported for treatment, if <br /> different than hauler: _ <br /> Name: <br /> S eU Vh L` t a- <br /> Address: s L- <br /> city State Zip Code <br /> EHD 45-03 6 <br />
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