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� T <br /> • Moses <br /> s D.Elam,MD <br /> KAISER PERMANEWE. Physician-in-Chief <br /> �-^ Corwin N.Harper,MHA,FACHE <br /> 5 <br /> Senior Vice President/Area Manager <br /> Central Valley Service Area <br /> Violation#2- <br /> 20)HSC Section 118280-MW label& contain. <br /> Finding: This facility is not labeling secondary containers with incineration only when placing <br /> pharmaceutical waste containers in them. <br /> 118275(g)Pharmaceutical waste shall be segregated for storage and when placed in a container or <br /> secondary container,that container shall be labeled with the words `Incineration only' on the lid and on <br /> the sides, so as to be visible from any lateral direction. <br /> -Submit a photo showing pharmaceutical waste secondary containers with the required approved labeling. <br /> Provide the photo within 30 days. <br /> Corrective Statement: We have labeled our wall bracket holders (see 3 photos below)with the <br /> `Incineration Only' labels as requested. <br /> Supporting Documentation: <br /> i <br /> Page 3 of 4 <br /> Stockton Medical Office Manteca Medical Center Tracy Medical Offices Modesto Medical Offices <br /> 7373 West Lane,Stockton,CA 95210 1777 W.Yosemite Avenue,Manteca,CA 95337 2185 W.Grant Line Road,Tracy,CA 95377 Post Office Box 577680,Modesto,CA 95357 <br />