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ENVIRONMENTAL HEALTH DEPARTMENT <br />SAN JOAQ►UIN 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 Management Plan shall contain the following information as appropriate for your <br />facility: <br />r <br />Business Name: fiE d OSep ' 5 Ol ed4 Ca l C4��-)to r <br />Business Address: C,0tf . &I'fo(n'a St`e e,t <br />'StQC.V\t0o CA - pisa� _. <br />City state Zip Code <br />Phone Number: <br />Type of Facility or Business:,a <br />REGISTRATION -FOR: - <br />E] Small Quantity Generator with Onsite Treatment (Generates less than 200 lbs/month). <br />❑ Large Quantity Generator Only (Generates 200 lbs or morelmonth). <br />5 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: 3 'Ken Ate, Title S olol' 5erv' (.P' ,mea Grectos <br />Phone: (aoq B6j — 64?! Date: i a f -J /9' 01 cj <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 />E r- c h m- c -- c Z� h r w 3-te, <br />a) Do you generate M pharmaceutical waste (expired, spent, partials, patient returns)? fdYes ❑ No <br />If yes, describe the type of pharmaceutical waste (expired, spent, partials, patient returns): <br />-+r c 1�.. <br />And estimate the monthly amount of pharmaceutical waste generated at your facility: q0 lb -s, <br />EHD 45-03 <br />2015 <br />