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n d. Name, address and phone number of Offsite Treatment Facility where pharmaceutical waste is transported for treatment, if different than pharmaceutical waste hauler: Name: Stericycle Address: 4135 W. Swift Avenue Fresno, CA 93722 Phone: (559 27) 5-0994 e. All medical waste generators are required to keep accurate records regarding containment, storage, hauling, treatment and disposal. All medical waste records area to be maintained and available for review during inspection for three (3) years. Do you have tracking documents for all medical wastes handled at your facility: 0 Yes ® No Describe training provided to staff regarding handling, storage, disposal, and record keeping of all medical waste, including pharmaceutical waste, at your facility: New Hire orientation and annual reorientation of all emplovees in the following areas: Needle stick prevention, Proper hand washing_ Understanding bloodborne Dathogens. Standard precautions, Medical waste handling, and Proper use of Personal Protective Equipment. f. Describe your medical waste emergency action plan, including procedures for handling spills, exposures, equipment failures, etc (Attach information as necessary): Medical waste emergencies are handled on an individual basis depending of the severity of the situation. Needle sticks and exposures are treated through Employee Health or Emergency Department. Medical Waste spills are sectioned off to limit exposure and treated with germicidal -detergent quaternary ammonium solution to render the site non-infectious. Stericycle has four transportation and treatment plants in Northern California (see attached list).Any one of these sites could provide service if our regular site could not g. Describe how reusable medical waste carts or containers are cleaned and decontaminated. Approved methods include agitation to remove visible soil combined with one of the following: 1. Exposure to hot water of at least 82 degrees Centigrade (180 degrees Fahrenheit) for a minimum of 15 seconds. 2. Exposure to chemical sanitizer by rinsing with, or immersion in, one of the following for a minimum of three minutes: • Hypochlorite solution (500 ppm available chlorine) • Phenolic solution (500 ppm active agent) • Iodoform solution (100 ppm available iodine) • Quaternary ammonium solution (400 ppm active agent) Reusable medical carts and containers are cleaned with high steam and rinsed with quaternary ammonium solution. I hereby certify to the best of my knowledge and belief that the statements made herein are correct and true. Signature: Dennis Gorton Title: Manager of Housekeeping Services Date: 6/2/08 EHD 45-03 Page 3 05/27/08