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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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9 <br />ENVIRONNINTA-L HEALTHP , i <br />.�..SAN JOAQUIN COUNTYrr,�s�p�r�®rs <br />+ Doma K Reria, R ILS. <br />XXroaror 600 East Main Street C24 Borx=4 RE.x.s, <br />Ir Lawrie A. Cotu4 R EE& Stockton, California 95202 Mike Huggins, RE.H.S., R.n.L <br />•'.. �ssfsrant Directflr <br />Telephone: 209 4683420 Margaret Lagorio, RS -14-S. <br />Tele <br />pb )- Robert McOeuou, &E.I%S. <br />Fax: (209) 468-3433 JeffCwussoo, R.E.&S. <br />xascy Foley, R&.I-I.s. <br />INFORMATION PACKET FOR MEDICAL WASTE GENERATORS <br />This packet contains the information and forms you will need to help you comply with the <br />Medical Waste Management Act <br />Please retcarn the completed forms prior to medical waste generation or treatment <br />1. Complete the -Pre-Application Questi®nnaire" on Page 2. If your answers indicate <br />you are not req*cd to register as a medical waste generator, then complete the <br />"Certifleation Statement" on Page 3 and retam both complete forms to the mailing <br />address below. <br />2. If you are required to register as a medical waste generator, as indicated by affirmative <br />answers to questions 3 & 4 on the "Pre -Application Questionnaire", then; <br />a. Complete the "Registration for Medical Waste' form located on <br />Page 4, <br />b. Complete a "Medical Waste Management Plan" following the guidelines <br />provided on Page 5. <br />.!r <br />Your cooperation in promptly registering and following the specified handling requirements is <br />greatly appreciated. <br />If you have any questions regarding registration or handling requirements, please contact (209) <br />468-3420 and ask for the Medical Waste Program. <br />Attn: Medical Waste Program <br />San Joaquin County Environtneratal Health Department <br />600 Fast Main Street <br />Stockton, CA. 95202-3029 <br />MM 4-1�o3 <br />o41aaroa <br />
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