Laserfiche WebLink
GUIDELINES FOR THE UIEDIW,,L,' !T' <br />(Please Type or Print) <br />Small quantity generators that provide onsite treatment and all large quantity generators <br />shall have a medical waste management plan on file with the local enforcement agency <br />(PHS-EHD). The medical waste management plan shall contain the following inforrnation, <br />as appropriate for your facility: <br />ess <br />-y-a►r 'PI -FAL-- <br />BusinName: A 4 CX& <br />Business Address: <br />Business Phone:SOO <br />Type Of Facility Or Business: ALUTt-L CA2f-- <br />Registered As: (Check One) <br />O Small Quantity Generator With Onsite Treatment. (Generates < 200 lbs./mo.) <br />Large Quantity Generator. (Generates 200 lbs. or more/mo.) <br />Large Quantity Generator With Onsite Treatment. (Generates 200 lbs. or more/mo.) <br />Person Responsible For Implementation Of The Plan: <br />Name:IAK� *-91 L-S12:E-q <br />Title: NQJe�-1 02- D P- Nhone: 2-09) - ISZ60 <br />ECLU 10 EE-q- <br />ATrACH ADDITIONAL INFORMATION <br />I List the types of medical waste generated at your facility, i.e., Laboratory Wastes, <br />Blood or Body Fluids, Sharps, Contaminated Animals, Surgical Specimens, or <br />Isolation Wastes. (See "Regulated Medical Wastes" on Page 3.) <br />2. Estimate the monthly amount of medicalgenerated at your facility. <br />3. Describe the medical waste handling procedures utilized by and app c e to your <br />facility: <br />a. Onsite location and method for segregation, containment, packaging, <br />labelling, and collection. <br />-CONTINLD ON REVERSE - <br />6 <br />