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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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F
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FAIRMONT
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840
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4500 - Medical Waste Program
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PR0536153
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COMPLIANCE INFO
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Entry Properties
Last modified
2/23/2023 2:19:11 PM
Creation date
7/3/2020 10:21:39 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0536153
PE
4530
FACILITY_ID
FA0019928
FACILITY_NAME
ENDOSCOPY CENTER OF LODI LLC
STREET_NUMBER
840
Direction
S
STREET_NAME
FAIRMONT
STREET_TYPE
AVE
City
LODI
Zip
95240
APN
03308045
CURRENT_STATUS
02
SITE_LOCATION
840 S FAIRMONT AVE STE 1
P_LOCATION
02
P_DISTRICT
004
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4530_PR0536153_840 S FAIRMONT_.tif
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EHD - Public
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2. Estimate the monthly amt of medical waste(excluding waste pharmaceuticals) generated at your <br /> facility: Cdt o 4 ��10 6 <br /> 3. Describe the medical waste handling procedures utilized by and applicable to your facility,including, <br /> but not limited to the following: <br /> a. Onsite location and method for segregation,containment,packaging, labeling and collection, <br /> including pharmaceutical waste: <br /> L is ditcar lnfv rtd bur. stalLd in im o c <br /> rola duf4naUt ovc.d <br /> b <br /> ar d r c, <br /> All 'hcfc art kWW w;-Ih con6h W at sapacneJ. <br /> b. Storage area description with storage methods utilized fo�j eachTaste stram incl d• a yA <br /> phar{�aceutica waste- h(U t1G lh Gott ' a I� 11tcS. <br /> �.6nTAl11tJtajo <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 failure, etc.: M <br /> d. Name, address,registration number and phone number of the registered hazardous waste <br /> hauler employed by your facility for biohazardous (excluding pharmaceutical waste) and <br /> sharps waste: <br /> Name: L <br /> Address: 401 MuORL AVE <br /> o M48PAOK IL 600r,Q <br /> LIN� 4 )q�5 � ®�65 State Zip Code <br /> Phone: <br /> Registration#: <br /> e. Name, address,registration number and phone number of the registered hazardous waste <br /> hauler or common carrier employed by your facility for pharmaceutical waste: <br /> Name: ' qx <br /> Address: -00 L RK <br /> Th6axg IL 6006 a <br /> City State Zip Code <br /> Phone: ( 843+) 9j5 0-465 <br /> Registration#: <br /> EHD 45-03 6 <br /> 2015 <br />
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