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SAN J O A Q U I N Environmental Health Department <br /> _sf-- . COUNTY <br /> t_ reatness grows here . <br /> INFORMATION PACKET FOR MEDICAL WASTE GENERATORS <br /> This packet contains the information and forms you will need to help you comply with the <br /> Medical Waste Management Act , <br /> Instructions <br /> Please return the completed forms prior to medical waste generation or treatment . <br /> 1 . Complete the " Pre -Application Questionnaire " on Page 2 . If your answers indicate you <br /> are not required to register as a medical waste generator, then complete the " Certification <br /> Statement" on Page 4 and return both complete forms to the mailing address below . <br /> 2 . If you are required to register as a medical waste generator , as indicated by affirmative <br /> answers to questions 3 & 4 on the " Pre -Application Questionnaire " , then : <br /> a . Complete the " Registration for Medical Waste " form located on Page 5 . <br /> b . Complete a " Medical Waste Management Plan " following the guidelines starting <br /> on Page 6 . <br /> c . Return the completed forms and management plan to the mailing address below . <br /> Your cooperation in promptly registering and following the specified handling requirements <br /> is greatly appreciated , <br /> If you have any questions regarding registration or handling requirements , please contact us <br /> at ( 209 ) 468 - 3420 and ask for assistance in the Medical Waste Program . <br /> RETURN ALL COMPLETED FORMS TO : <br /> San Joaquin County Environmental Health Department <br /> 1868 E . Hazelton Ave . <br /> Stockton , CA 95205 <br /> Attn : Medical Waste Program <br /> 1868 E . Hazelton Avenue 1 Stockton , California 95205 1 T 209 468- 3420 F 209 464 - 0138 1 www . sjcehd . com <br />