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-ENT <br /> ENVIRONMENTAL HEALTH DEPARTM <br /> SAN JOAQUIN COUNTY <br /> 1868 E. Hazelton Avenue <br /> Stockton, California 95205 <br /> Telephone: (209)468-3420 <br /> Fax: (209)468-8392 <br /> GUIDELINES FOR THE MEDICAL WASTE MANAGEMENT PLAN <br /> Small quantity generators that provide onsite treatment and all large quantity generators shall have a <br /> Medical Waste Management plan on file with the San Joaquin. County Environmental Health Department. <br /> The Medical Waste Maiiagement Plan shall contain the following information as appropriate for your <br /> i <br /> facility: <br /> Business Name: ck� <br /> V <br /> Business Address: 2,!> rj,L <br /> A 24 <br /> city State Zip Code <br /> Phone Number: co L( <br /> Type of facility or Business: <br /> REGIST RATIONN-FOR: <br /> F1 Small Quantity Generator with Onsite Treatment(Generates less than 200 lbs/month). <br /> Large Quantity Generator Only(Generates 200 lbs or more/month). <br /> El 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: C--(c,,-C�,: -'r- 4-4 <br /> Title: <br /> q � <br /> Phone: 2,'Z 9 q LOf) Date: <br /> 1 List the types of medical waste generated at your facility (i.e. laboratory wastes, blood or body <br /> 1 S, sliga' contanni atpAj aninja s, surgical specimens, trace chemo or isolation wastes): <br /> 7' 4 '7 -_s <br /> 1to bcx- �A L <br /> a) Do you generate any pharmaceutical waste(expired, spent,partials, patient returns)? Yes F-1 No <br /> I <br /> If yes, describe the type of ph rima utical waste(expired, spent,partials,patient returns): <br /> L <br /> And estimate the monthly amount of pharmaceutical waste generated at your facility: <br /> EHD 45-03 <br /> 2015 <br />