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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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CORRAL HOLLOW
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2955
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4500 - Medical Waste Program
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PR0546503
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COMPLIANCE INFO
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Last modified
8/22/2024 11:48:41 AM
Creation date
2/7/2023 12:48:14 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0546503
PE
4530
FACILITY_ID
FA0026367
FACILITY_NAME
DAVITA GRANT LINE DIALYSIS
STREET_NUMBER
2955
Direction
N
STREET_NAME
CORRAL HOLLOW
STREET_TYPE
RD
City
TRACY
Zip
95376
CURRENT_STATUS
01
SITE_LOCATION
2955 N CORRAL HOLLOW RD STE 101
P_LOCATION
03
QC Status
Approved
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SJGOV\cfield
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EHD - Public
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SANJ O A Q U I N Environmental Health Department <br /> COUNTY <br /> Phone: ( 800 ) 936-1555 Registration #: TSOST22 <br /> h. Do you handle pharmaceutical waste that is classified by the federal Drug Enforcement Agency(DEA) as <br /> "controlled substances"? ❑ Yes ® No <br /> If yes, describe how the "controlled substances" are disposed: <br /> i. All medical waste generators are required to keep accurate records regarding containment, storage, hauling, <br /> treatment and disposal. All medical waste records are to be maintained and available for review during <br /> inspection for two (2) years. Do you have tracking documents for all medical wastes handled at your facility? Ez <br /> Yes ❑ No <br /> j. Describe training provided to staff regarding handling, storage, disposal, and record keeping of all medical <br /> waste, including pharmaceutical waste, at your facility: <br /> inserviced all teammates <br /> k. Describe your medical waste emergency action plan, including procedures for handling spills, exposures, <br /> equipment failures, etc. (attach information as necessary): <br /> clinic has spill kits, post exposure packets, and inserviced/training on biohazard waste annually <br /> I. Describe how reusable medical waste carts or containers are cleaned and decontaminated (see below for <br /> approved cleaning methods): <br /> Exposure to hot water of at leaster 82 degrees Centigrade for a minimum of 15 seconds. <br /> Stericycle decontaminates containers. <br /> Approved cleaning methods include agitation to remove visible soil combined with one of the following: <br /> 1. Exposure to hot water of at least 82 degrees Centigrade(180 degrees Fahrenheit)for a minimum of 15 seconds. <br /> 2. Exposure to chemical sanitizer by rinsing with, or immersion in, one of the following for a 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 minimum, <br /> one of the above referenced approved cleaning methods: <br /> n/a <br /> I hereby certify to the best of my knowledge and belief that the statements made herein are correct and true. <br /> Printed Name: Courtney Vela Signature: ru4� <br /> Title: Facility Administrator Date: 2/2/2021 <br /> 7 of 8 <br />
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