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COMPLIANCE INFO_2011-2017
Environmental Health - Public
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EHD Program Facility Records by Street Name
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GRANT LINE
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4500 - Medical Waste Program
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PR0536283
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COMPLIANCE INFO_2011-2017
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Last modified
5/31/2024 3:53:54 PM
Creation date
7/3/2020 10:21:52 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2011-2017
RECORD_ID
PR0536283
PE
4530
FACILITY_ID
FA0019954
FACILITY_NAME
SATELLITE DIALYSIS
STREET_NUMBER
2156
Direction
W
STREET_NAME
GRANT LINE
STREET_TYPE
RD
City
TRACY
Zip
95377
APN
23861006
CURRENT_STATUS
01
SITE_LOCATION
2156 W GRANT LINE RD STE 150
P_LOCATION
03
P_DISTRICT
005
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4530_PR0536283_2156 W GRANT LINE_.tif
Tags
EHD - Public
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1. Describe how reusable medical waste carts or containers are cleaned and decontaminated(see below for <br /> approved cleaning methods): <br /> Et _I-k —VV" V'Skr\'kC'TV'O <br /> "A MUNY\-- <br /> Approved cleaning methods include agitation to remove visible soil combined with one of the following: <br /> 1. Exposure to hot water of at least 82 degrees Centigrade(180 degrees Fahrenheit)for a minimum <br /> of 15 seconds. <br /> 2. Exposure to chemical sanitizer by rinsing with,or immersion in,one of the following for a <br /> minimum of three minutes: <br /> ® Hypochlorite solution(500 ppm available chlorine) <br /> ® Phenolic solution(500 ppm active agent) <br /> ® Iodoform solution(100 ppm available iodine) <br /> ® Quaternary ammonium solution(400 ppm active agent) <br /> m. Describe, if medical waste is treated onsite,a closure plan for the termination of treatment,using at a <br /> minimum,one of the above referenced approved cleaning methods: ()IAA <br /> I hereby certify to the best of my knowledge and belief that the statements made he are correct and true. <br /> le her are correct and true. <br /> 0 <br /> Printed Name: <br /> Signatuo:' <br /> Title: <br /> Date: <br /> EHD 45-03 <br /> —z 8 <br />
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