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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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BENJAMIN HOLT
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4500 - Medical Waste Program
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PR0519180
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COMPLIANCE INFO
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Last modified
3/6/2026 9:34:29 AM
Creation date
7/3/2020 10:20:59 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0519180
PE
4530
FACILITY_ID
FA0010525
FACILITY_NAME
DELTA SIERRA DIALYSIS CNTR
STREET_NUMBER
555
Direction
W
STREET_NAME
BENJAMIN HOLT
STREET_TYPE
DR
City
STOCKTON
Zip
95207
APN
08126029
CURRENT_STATUS
02
SITE_LOCATION
555 W BENJAMIN HOLT DR STE 200
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4530_PR0519180_555 W BENJAMIN HOLT_.tif
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EHD - Public
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®PaU!H. SAN JOAQUIN COUNTY Date VD IC) <br /> ENVIRONMENTAL LT DEPARTMENT PR ®51 1 ® <br /> N 600 East Main Street, Stockton, CA 95202 <br /> (209)468-3420 <br /> MEDICAL WASTE INSPECTION FORM <br /> FacilityName60-Act,��`7-icsZar U1gNt�s ili rens 55S W. � ioll S S. <br /> Fcili Contact K1i 1 ab(�,A]cuf ��1 i jScvTnr onex'73- 9 <br /> INSPECTION TYPE: i []Complaint oRe-inspection <br /> VIOL TIONS) <br /> Registration THE ITEMS BELOW REPRESENT VIOLATIONS OF THE CALIFORNIA <br /> _1.HSC Section 117955-Large Quantity HEALTH & SAFETY CODE (HSC): <br /> Generator shall register with the enforcement <br /> agency prior to commencement of the generation of <br /> medical waste. t a')s t• cj,I CA' O <br /> _2.HSC Section 117903-Permit from the <br /> enforcement agency required to treat medical ; l ° C <br /> waste. <br /> _3.HSC Section 117890-No large LQG shall ®® S ly �� <br /> generate medical waste unless registered with the <br /> enforcement agency. <br /> _4.HSC Section 117895-SQG that treats med <br /> waste shall register with enforcement agency. 1 <br /> _5.HSC Section 117900-Shall not haul med eck <br /> waste unless registered or obtained LQHE. 1 <br /> _6.HSC Section 117903-Shall not treat med °O 11` 01 kA3,411kc. 0_OZ44 r LJIL)A)b KID <br /> waste without permit from enforcement agency. i t i S <br /> _7.HSC Section 117908-Common Storage pp ] 1 <br /> facility shall be registered with local enforcement <br /> agency. g,f .S ®�uS1fn�� <br /> tt ��.1 <br /> Procedures <br /> _8.HSC Section 117935-SQG MWMP Cmtp „k IJA `b t5hu, <br /> _9.HSC Section 117943-SQG Shall keep <br /> records for 3 years. 3 , ' 9- j <br /> _10.HSC Section 117945-SQG not required to <br /> register shall keep records for 2 years, j )1 <br /> 11.HSC Section 117960-LQG shall file MWMP 11r <br /> with enforcement agency. C t <br /> _12.HSCSection 117975-LQG shall keep S,-`p QC fl <br /> records for 3 years. �d <br /> Transportation ld '? a in r>> o s L L1 8 1 , <br /> _13.HSC Section 118030-LQHE application. <br /> Treatment/Storae <br /> _14.HSC Section 118135-Shall obtain a permit ' Z ;1 C <br /> from the enforcement agency to treat medical e S e <br /> waste prior to treating the waste. <br /> _15.HSC Section 118765-All treatment records <br /> shall be kept for 3 years. <br /> _16.HSC Section 118215-All medical waste <br /> shall be treated pursuant to this section. L <br /> _17.HSC Section 118220-Recognizable human { W�STCi Ccs <br /> anatomical parts shall be disposed of by interment <br /> unless otherwise hazardous. , f <br /> _18.HSC Section 118225-Treated sharps shall ®be destroyed or somehow prevent public access. Lai <br /> Aa_&19.HSC Section 118275-MW red bags,path, p� s c J 'Q, n <br /> chemo shall be labeled properly. <br /> �20.HSC Section 118280-MW label&contain S o v S <br /> 21.HSC Section 118285-Sharps label/contain a <br /> _22.HSC Section 118295-Proper decon used. �1(1P Ce ®te MW4 17 <br /> 23.HSC Section 118307-Interim storage labeled <br /> -_24.HSC Section 118310-Enclosure labeled. u <br /> 25.HSC Section 118305-Cannot reuse drums <br /> _26.HSC Section 117630-Approved biohazard <br /> bag used. <br /> 27.HSC Section 118275 Pharm label/store <br /> _28.HSC Section 118222-Incineration Required Insp for Signature Received By Date <br /> 29 Other-Describe in narrative. <br />
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