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COMPLIANCE INFO_1985-2020
Environmental Health - Public
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4500 - Medical Waste Program
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PR0450015
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COMPLIANCE INFO_1985-2020
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Last modified
6/6/2024 3:26:49 PM
Creation date
7/3/2020 10:18:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
1985-2020
RECORD_ID
PR0450015
PE
4524
FACILITY_ID
FA0001270
FACILITY_NAME
BROOKSIDE CARE, LLC
STREET_NUMBER
1221
STREET_NAME
ROSEMARIE
STREET_TYPE
LN
City
STOCKTON
Zip
95207
APN
11021012
CURRENT_STATUS
02
SITE_LOCATION
1221 ROSEMARIE LN
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4524_PR0450015_1221 ROSEMARIE_.tif
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EHD - Public
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ENVIRONMENTAL HEALTH <br /> SAN JOAQUIN COUNTY <br /> 600 East Main Street <br /> Stockton, California 95202-3029 <br /> Telephone: (209) 468-3420 <br /> Fax: (209) 468-3433 <br /> GUIDELINES FOR THE MEDICAL WASTE MANAGEMENT PLAN <br /> Small quantity generators that provide Onsite Treatment and all laxge quantity generators shall have a <br /> Medical Waste Management plan on file with the San Joaquin County Environmental Realth Departinen,t_ <br /> The Medical Waste Management Plan shall contain the following information as appropriate for your <br /> facility: <br /> Business Name: yC1 s Vl <br /> Business Address: �Z2A �C��'�mGr ic, �•rl <br /> city State Zip Code <br /> Phone Number: ()9A ) <br /> Type of Facility or Business. S t- <br /> REGISTRATION FOR: <br /> ❑ Small Quautity Generator with Onsite Treatment (Generates less than 200 lbs/month). <br /> ❑ Large Quantity Generator Only(Generates 200 lbs or more/month). <br /> Large Quantity Generator with Onsite Treatmeut(Generates 200 lbs or more/mouth). <br /> Person responsible for implementation of the Medical Waste Management Plan: <br /> Name: I wkz K Title: M1nM5h0ir4- <br /> Phone: -q11" 2(j(j Date: I lu 119 <br /> f <br /> I. List the types of medical waste generated at your facility, i.e., laboratory wastes, blood or body <br /> fluids, sharps, contaminated animals9 urgical specimens, tr ee chemo or isolation wastes": <br /> k a i <br /> a) Do you generate�jny pharmaceutical waste (expired, spent, partials, patient returns)? �'es ❑ No <br /> If yes, des rib,the type of ,hazmaceutica waste `exp ed, spent, partials,patient returns): <br /> 1�XP1 �G�1 �r1s ow par" 1Gt s <br /> And estimate the monthly amount of pharmaceutical waste generated at your facility: ' g <br /> EHD 45-03 5 <br /> >violas <br /> t00 'd 'ON M NV Z 1 : 11 IlHI/61 WI ZAH <br />
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