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1 <br />Cruz, Alexander [EHD] <br />From:Verstl, Richard - Arbor Rehab & Nursing Center <RVerstl@covenantcare.com> <br />Sent:Wednesday, May 21, 2025 8:23 AM <br />To:Cruz, Alexander [EHD] <br />Subject:RE: Regarding Your Stericycle Request - Reference 16632159 [ ref:!00Df4023wCj.! <br />500VJ0Uapyu:ref ] <br />Importance:High <br />Hi Alexander, <br />Thank you for following up. <br />1. Regarding the missing medical waste manifests: After reviewing the dates in question, I followed up with <br />Stericycle and was informed that the scheduled pick-up did not occur within the 7-day window due to the <br />holidays. I have since clarified with Stericycle that, per our contract and regulatory requirements, at least one <br />mandatory pick-up must occur within each 7-day period regardless of holidays. I instructed them that if a pick- <br />up must occur a day earlier to remain compliant, then it needs to be scheduled accordingly moving forward. <br />2. Concerning the pharmaceutical containers (white bins with blue lids): The larger bins you referenced are no <br />longer in use at our facility. We have transitioned to using only the smaller blue-lidded containers, which are <br />properly labeled for incineration on all required sides. <br />3. As for the IV fluid bags: All sharps, including needles, are removed and disposed of in designated sharps <br />containers. The IV bags themselves are placed in the blue-lid pharmaceutical containers without any sharps <br />attached. <br />Please let me know if any further clarification or documentation is needed. <br /> <br /> <br />Richard Verstl <br />Director of Maintenance (EVS) <br />Covenant Care-Central Valley <br />209-445-0234 <br />rverstl@covenantcare.com <br /> <br /> <br /> <br /> <br />From: Cruz, Alexander [EHD] <acruz@sjgov.org> <br />Sent: Tuesday, May 20, 2025 2:15 PM <br />To: Verstl, Richard - Arbor Rehab & Nursing Center <RVerstl@covenantcare.com> <br />Subject: RE: Regarding Your Stericycle Request - Reference 16632159 [ ref:!00Df4023wCj.!500VJ0Uapyu:ref ] <br /> <br />Good afternoon Richard, <br /> <br />Emailing again to receive a response for my previous email. <br /> <br />Thank you. <br /> <br />Alexander Cruz <br />Environmental Health Specialist <br />San Joaquin County Environmental Health Department