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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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4500 - Medical Waste Program
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PR0530132
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COMPLIANCE INFO
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Last modified
2/21/2023 12:31:02 PM
Creation date
7/3/2020 10:22:54 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0530132
PE
4557
FACILITY_ID
FA0019804
FACILITY_NAME
PRESTIGE HOME HEALTH SERVICES INC
STREET_NUMBER
4212
Direction
N
STREET_NAME
PERSHING
STREET_TYPE
AVE
City
STOCKTON
Zip
95207
APN
11022016
CURRENT_STATUS
02
SITE_LOCATION
4212 N PERSHING AVE STE A-7
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4557_PR0530132_4212 N PERSHING_.tif
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EHD - Public
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GUIDELINES FOR THE MEDICAL WASTE MANAGEMENT <br /> PLAN <br /> Small quantity generators that provide Onsite Treatment and all large quantity generators <br /> shall have a Medical Waste Management plan on file with the San Joaquin County <br /> Environmental Health Department. The Medical Waste Management Plan shall contain the <br /> following information as appropriate for your facility: <br /> Business Name: , f✓ &M. <br /> Business Address: <br /> ala ,(l. '! SUITO A --7 <br /> City State �.p Zip Code <br /> Phone Number: <br /> Type of Facility or Business: d�- <br /> REGISTRATION FOR: <br /> Eql Small Quantity Generator with Onsite Treatment(Generates less than 2001bs/month). <br /> ❑ Large Quantity Generator Only(Generates 200 lbs or more/month). <br /> ❑ Large Quantity Generator with Onsite Treatment(Generates 200 lbs or more/month). <br /> Person responsible for implementation of the Medical Waste Management Plan: <br /> Name: 0V Ka' �!^G►7.�, Title: �'7XiA( � <br /> Phone: CG"'q) � — �� Date: <br /> 1. List the types of medical waste generated at your facility, i.e., laboratory wastes,blood or body <br /> fluids, sharps,contaminated animals, surgical specimens,trace chemo or isolation wastes": <br /> T <br /> a) Do you generate gLny pharmaceutical waste(expired/outdated, spent,partials,)? <br /> b) ❑ Yes [4No <br /> If yes, describe the type of pharmaceutical waste(expired, spent,partials, outdated,patient <br /> returns, etc): k�14 <br /> And estimate the monthly amount of pharmaceutical waste generated at your <br /> facility: <br /> EHD 45-03 5 <br /> 10/6/2006 <br />
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