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DAMERON HOSPITAL ASSOCIATION <br />525 WEST ACACIA STREET <br />STOCKTON, CALIFORNIA <br />O 95203 <br />June 27, 2002 <br />Kasey L. Foley, R.E.H.S. <br />Environmental Health Department <br />San Joaquin County <br />304 E. Weber Ave <br />Third Floor <br />Stockton, CA. 95202-2708 <br />Dear Ms. Foley, <br />I am writing in response to your annual medical waste inspection on 6/20/02 and the <br />areas that were reported to be in need of correction. I am pleased to inform you that <br />immediate changes were implemented regarding the placement of the Bacillus <br />stearothermophilus biological pack and the documentation of the appropriate actions <br />taken when the time and temperature per load is not reached. <br />I have inserviced all EVS personnel who directly operate the San -I -Pak sterilizer in <br />regards to the changes that are being implemented. We have reviewed the enclosed San - <br />I -Pak Operating procedure and specifically reviewed the highlighted portions regarding <br />those areas that were in need of correction. Also, those personnel in Lead positions have <br />reviewed this information and have been instructed to follow-up periodically to see that <br />the procedure is being followed correctly. <br />For your information, the hook on the Bacillus stearothermophilus pack cradle has been <br />removed so that the pack can no longer be hung. It will now be placed in the middle of <br />the load as you instructed. <br />i hope that this effort is adequate to satisfy our need to comply with local health <br />regulations. If you should have any questions or comments please feel free to contact <br />Linda Knowles or myself. <br />Again, it was a pleasure to see you and to discover that we share a common name for our <br />two sons. <br />Sincerely, <br />4'11_�_ _...; - <br />Dennis Gorton ZS :11 W Z �"'rjr eo <br />Director, Environmental Services <br />