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Alaniz, John From: Liliana Mejia <Imejia@smcgov.org> Sent: Wednesday, October 30, 2019 4:47 PM To: Alaniz, John Cc: Backus, Garrett Subject: RE: Dialysis Center Hazardous Waste_San Joaquin County John, We have dialysis facilities regulated for the storage of chemicals but not for hazardous waste generation.They use salts and acids to produce the dialysate which is a very diluted solution used to remove the impurities from the blood of the patient.The used solution is discarded through the sanitary system. It is a mixed waste but I don't believe it has the potential to be hazardous due to the low concentration of chemicals. Their equipment include pumps and there may be some that require oil change.The equipment is typically serviced by a third party contractor. If used oil is generated,the contractor usually transport this waste.They don't generate any other hazardous waste to my knowledge. Best, Liliana From:Alaniz,John <jalanizl@sjgov.org> Sent: Wednesday, October 30, 2019 2:17 PM To: Liliana Mejia <Imejia@smcgov.org> Cc: Backus, Garrett<gbackus@sjgov.org> Subject: Dialysis Center Hazardous Waste_San Joaquin County CAUTION:This email originated from outside of San Mateo County.Unless you recognize the sender's email address and know the content is safe,do not click links,open attachments or reply. Hi Liliana, I am a hazardous waste inspector for the San Joaquin County CUPA. I recently did a hazardous waste inspection at DaVita Port City Dialysis. When I asked to see their hazardous waste records, they replied that they did not generate anything hazardous. I looked through their chemical inventory and did not see anything that indicated a listed/characteristic waste was generated. My question for you: Have you seen or heard of any hazardous wastes being generated at a dialysis center? This facility only does dialysis. Any information you have would be very much appreciated. Thank You, John Alaniz REHS San Joaquin County