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Phone: f 1 <br />g. Name, address and phone number of offsite Treatment Facility where pharmaceutical <br />waste is transported for treatment, if different than pharmaceutical waste hauler: <br />Name: <br />Address: <br />City <br />Phone: <br />State <br />Zip Code <br />h. All medical waste generators are required to keep accurate records regarding <br />containment, storage, hauling, treatment and disposal. All medical waste records area to <br />be maintained and available for review during inspection for three (3) years. Do you <br />have tracking documents for all medical wastes handled at your facility. 5dYes C1 No <br />i. Describe training provided to staff regarding handling, storage, disposal, and record <br />keeping of all medical waste, including pharmageutical waste, at your facility:_ <br />,_ / _ j 6 <br />j. Describe your medical waste emergency action plan, including procedures for <br />handling spills, exposures, equipment failures, etc: <br />_S;�E�,n Shrc ,�; etre%>°crri �c� <br />I hereby certify to the best of my knowledge and belief that the statements made herein are <br />Title:-!ac.1"p -f- . i GiciGt nCl Y A i Qru <br />Date: <br />EHD 45.03 � <br />l0/or2006 <br />