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COMPLIANCE INFO_2016-2023
EnvironmentalHealth
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4500 - Medical Waste Program
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PR0450024
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COMPLIANCE INFO_2016-2023
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Entry Properties
Last modified
11/8/2024 1:32:54 PM
Creation date
1/26/2023 11:04:56 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2016-2023
RECORD_ID
PR0450024
PE
4524 - SKILLED NURSING FACILITY
FACILITY_ID
FA0002493
FACILITY_NAME
GOLDEN LIVING CENTER HY-PANA
STREET_NUMBER
4545
STREET_NAME
SHELLEY
STREET_TYPE
CT
City
STOCKTON
Zip
95207
APN
10425005
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
Site Address
4545 SHELLEY CT STOCKTON 95207
Tags
EHD - Public
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Describe how reusable medical waste carts or containers are cleaned and decontaminated (see below for <br />approved cleaning methods): <br />IN <br />Approved cleaning methods include agitation to remove visible soil combined with one of the following: <br />I. Exposure to hot water of at least 82 degrees Centigrade (180 degrees Fahrenheit) for a minimum <br />of 15 seconds. <br />2. Exposure to chemical sanitizer by rinsing with, or immersion in, one of the following for a <br />minimum of three minutes: <br />® Hypochlorite solution (500 ppm available chlorine) <br />• Phenolic solution (500 ppm active agent) <br />• Iodoform solution (100 ppm available iodine) <br />® Quaternary ammonium solution (400 ppm active agent) <br />m. Describe, if medical waste is treated onsite, a closure plan for the termination of treatment, using at a <br />minimum, one of the above referenced approved cleaning methods: <br />B <br />I hereby certify to the best of my knowledge and belief that the statements trade hgrein are correct and true. <br />Printed Name: g f i Sign <br />Title: I\cI�Ai'I'It_i Date <br />EHD 45-03 <br />2015 <br />
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