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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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2014-05-09 13:00 2094688392 P 3/8 <br />g. Naive, address and phone number of Offsite Treatment Facility where pharmaceutical <br />waste is transported for treatment, if different than pharmaceutical waste hauler. <br />Name: st <br />Address: 3 s <br />City State Zip Code <br />Phone: C 4Li `t 8 -77 q 2-0— <br />h. All medical waste generators are required to keep accurate records regarding <br />containment, storage, hauling, treatment and disposal. All medical waste records area to <br />be maintained and available for review during inspection for three (3) years Do you <br />have tracking documents for all medical wastes handled at your facility: Yes ❑ No <br />i. Describe training provided to staff regarding handling, storage, disposal, and record <br />keeping of all medical waste, including pharmaceutical 1K at your facility: <br />Describe your medical waste emergency action plan, including procedures for <br />_ q <br />1 hereby certify to the best of my knowledge and belief that the statement's made herein are <br />correct and true. <br />L& <br />'�� 1_ .�•i, r. t <br />�. <br />i , «p <br />Date: <br />Ci in 45-03 7 <br />10/6/2006 <br />Received Time May, 9. 2014 1:05PM No,1016 <br />
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