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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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KNICKERBOCKER
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1517
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4500 - Medical Waste Program
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PR0536182
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COMPLIANCE INFO
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Entry Properties
Last modified
7/15/2025 3:48:44 PM
Creation date
7/3/2020 10:19:58 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0536182
PE
4524 - SKILLED NURSING FACILITY
FACILITY_ID
FA0009746
FACILITY_NAME
Kindred Transitional Care and Rehabilitation Valley Gardens
STREET_NUMBER
1517
STREET_NAME
KNICKERBOCKER
STREET_TYPE
DR
City
STOCKTON
Zip
95210
APN
09056004
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4524_PR0536182_1517 KNICKERBOCKER_.tif
Site Address
1517 KNICKERBOCKER DR STOCKTON 95210
Tags
EHD - Public
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ozzo '°N W6: Z <br />ZI0 til 'Any avail paniaaa� <br />2. Estimate the monthly amount of medical waste (excluding waste pharmaceuticals) generated at <br />your facility: 200 t kis . <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. Onsitc location and method for segregation, containment, packaging, labeling and <br />collection, including pharmaceutical waste:As ; re.( ` h <br />aLLa-)q a r t' G. �l a <br />!- e ► c.e. �t-ct+ 3 <br />b. Storage area description with storage methods utilized for each waste stream including <br />ani pharmaceutical waste: 63e c7�/iri_Cit <br />c. if medical waste is treated onsite, describe the treatment 'facility including type of <br />treatment utilized, maximum capacity, time and temperature necessary, alternate <br />contingency plan in case of equipment failure, etc: <br />Name, address, registration number and phone number of the registered hazardous <br />waste hauler employed by your facility for biohazardous (excluding pharmaceutical <br />waste) and sharps waste: <br />Name: Ht k <br />Address: !A \ 57 `O ��. <br />Flre-: Ao, G0. 93792 <br />City State Zip Code <br />Phone: (55q) A75--0494 <br />Registration # : -r 5 3, -' OS—T <br />e. Name, address, registration number and phone number of the registered hazardous <br />waste hauler employed by your facility for pharmaceutical waste: <br />Name: <br />Address: t KN `4-+ <br />SCA 4 3'7 <br />City St to Zip Code <br />Phone: City <br />'13 57- 0 9 9 <br />Registration #: 75 aI'r 5 % C� a "r g- <br />o, <br />is Name, address and phone number of Offsite Treatment Facility where biohazardous <br />(excluding pharmaceutical waste) and sharps waste is transported for treatment, if <br />different than hauler: <br />Name: <br />Address: <br />City <br />GI-ID.15-03 6 <br />10/6112006 <br />OL/9 d 26£889W2 << <br />State :Gip Code <br />W * L-90-ZLOZ <br />
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