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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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Estimate the monthly amount of medical waste (excluding waste Pharmaceuticals) generated at your <br />facility: fnI i.- I <br />3. Describe the medical waste <br />handling Procedures utilized by and applicable to you, facility, <br />but not limited to the following: including, <br />a. Onsite location and method for segregation, containment, packaging, labeling and <br />including pharmaceutical waste: P 1, <br />b. Storage area description with storage methods utilized for each waste stream including any <br />pharmaceutical waste: -6 Le -- - � , - i - i a I <br />c. If medical waste is treated onsite, describe the treatment facility including type of treatment <br />utilized, maximum capacity, time and temperature necessary, alternate contingency plan in case <br />of equipment fOure, etc.: <br />d. Name, address, registration number and phone number of the registered hazardous wast <br />hauler employed by your facility for biohazardous (excluding pharmaceutical waste) <br />sharps waste: 4 <br />Name: <br />Address: <br />C' State Z�p Code <br />17 1> <br />Phone: 94. - <br />Registration!22- <br />e. Name, address, registration number and phone number of the registered hazardous waste <br />hauler or common carrier employed by your facty for pharmaceutical waste: <br />Name: <br />Address: <br />Phone: city State Zip Code <br />Registration #: <br />MM 45-03 <br />2015 6 <br />
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