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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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Medical Waste Management Plan <br /> Business Name: Office of Dr.Quan Nguyen <br /> iii Ca Y_ettt-_— <br /> Type of Business: General Dentist EX 02 A "i 52-+Q <br /> , Eric)+ <br /> Person responsible for implementation of plan: ffice- <br /> Name: Dr.Quan Nguyen Title.- Owner/D.D.S. Cell: 408-6444308 <br /> Types of medical waste generated: <br /> laboratory Wastes-specimen or microbiological cultures, stocks of infectious agents, <br /> live and attenuated vaccines,and culture media. <br /> (X) Blood or body fluids-liquid blood elements or other regulated body fluids,or articles <br /> contaminated with blood or body fluids. <br /> (X) Sharps- syringes,needles,blades,broken glass. <br /> (X) Waste Pharmaceuticals, ie, any visible remaining anesthetic in a carpule,outdated <br /> medicine or anesthetic. <br /> Contaminated animals-animal carcasses,body parts, bedding materials. <br /> (X) Surgical specimens-Human or animal parts or tissues removed surgically or by autopsy. <br /> Isolation waste-waste contaminated with excretion,exudate or secretions from humans <br /> or animals who are isolated due to highly communicable diseases listed by the Centers <br /> for Disease Control as requiring Biosafety Level 4 precautions* <br /> Monthly quantity of medical waste generated. less tho 2 Lbs. <br /> If less than 20 tbs.,please check small quantity generator: ( X <br /> 12 00 tbs.or more,please check(large quantity generator): <br /> Do you treat medical waste on-site,that is,in your office or <br /> facility, or on adjacent(within 400 yards)property. Yes <br /> If so,what treatment method do you use? <br /> X Steam sterilization <br /> Incineration <br /> Other <br /> What is your treatment capacity?Less than ane R2MgAAjRgR1h. <br /> ((?rely large quantity generators need to declare capacity) <br /> Do you employ the services of a registered hazardous waste hauler to remove untreated <br /> medical waste? NO <br /> If so, give the name and address of the registered hauler: Sharps Waste& Waste <br /> PharExceuticals we use a mail back system. <br /> Frequency of pick-up: NA. <br /> Do you generate hazardous or radioactive Waste? NO <br /> If so, give the name and address of the registered hazardous waste hauler collecting these wastes: <br /> 5 <br />
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