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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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SANJOAOUIN Environmental Health Department <br />--COUNTY <br />If yes, describe the type of pharmaceutical waste (expired, spent, partials, patient returns): <br />% off, j <br />4-e <br />!6�, DA r Ir r e,-tl..r as <br />And estimafe the monthVamoun- t of pharmaceutical waste generated at your facility: lejj <br />2. Estimate the monthly amount of medical waste (excluding waste pharmaceuticals) generated <br />at your facility: M r-3 16 --r <br />r - — <br />3. Describe the medical waste handling procedures utilized by and applicable to your facility, <br />including, but not limited to the following: <br />a. Onsite location and method for segregation, containment, packaging, labeling and collection, <br />including pharmaceutical waste: <br />b. Storage area description with storage methods utilized for each waste stream including any <br />.. pharmaceutical waste: <br />J'C,AA h.%!§ a4e'tA'G'6W- <br />X0 N6 Hn A~Otjj3 'o ;-c- r f4r" <br />f <br />c. If medical waste is treated onsite, describe the treatment facility including type of treatment <br />utilized, maximum capacity, time and temperature necessary, alternate contingency plan in <br />pase of equipment failure, etc.: <br />OVIA- <br />d. Name, address, registration number and phone number of the registered hazardous waste <br />hauler employed by your facility for biohazardous (excluding pharmaceutical waste) and <br />sharps waste: <br />Name: <br />Address: L7 7r L t- Z (v 44-.- s k— <br />V erk.� 5i-,& fo 2,z <br />City State Zip Code <br />Phone: (32"? ) 3 (0 2, <br />Registration #: Oo <br />e. Name, address, registration number and phone number of the registered hazardous waste <br />hauler or common carrier employed by your facility for pharmaceutical waste: <br />7 of 11 <br />
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