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0 0 <br />ENVIRONMENTAL HEALTH DEPARTMENT <br />SAN JOAQUIN COUNTY <br />600 East Main Street <br />Stockton, California 95202-3029 <br />Telephone: (209) 468-3420 <br />Fax: (209) 468-3433 <br />111ill 101 D1 a 101 *12 <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 Management Plan shall contain the following information as appropriate for your <br />facility: <br />Business Name: <br />Business Address: <br />Phone Number: <br />San Joaquin General Hospital <br />500 West Hospital Road <br />French Camp, CA 95231 <br />1• � •: •111 <br />Type of Facility or Business: Acute Care Hospital <br />❑ Small Quantity Generator with Onsite Treatment (Generates less than 2001bs/month). <br />® Large Quantity Generator Only (Generates 200 lbs or more/month). <br />❑ 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: Dennis Gorton Title: Manager of Housekeeping Services <br />Phone: 209-498-6998 Date: 5/28/08 <br />1. List the types of medical waste generated at your facility, i.e., laboratory wastes, blood or body <br />fluids, sharps, contaminated animals, surgical specimens, trace chemo or isolation wastes": <br />Laboratory waste, blood & body fluids, sha s, surgical specimens, trace chemo, and isolation waste <br />a) Do you generate My pharmaceutical waste (expired, spent, partials, patient returns)? ® Yes ® No <br />If yes, describe the type of pharmaceutical waste (expired, spent, partials, patient returns): Ex ip red, <br />spent, partials and patient returns. <br />And estimate the monthly amount of pharmaceutical waste generated at your facility: 400 lbs <br />EHD 45-03 Page 1 <br />05/27/08 <br />