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ENVIRONMENTAL HEALTH DEPARTMENT SAN JOAQUIN COUNTY 1868 E. Hazelton Avenue Stockton, California 95205 Telephone: (209) 468-3420 Fax: (209) 468-8392 GUIDELINES FOR THE MEDICAL WASTE MANAGEMENT PLAN Small quantity generators that provide onsite treatment and all large quantity generators shall have a Medical Waste Management plan on file with the San Joaquin County Environmental Health Department. The Medical Waste Management Plan shall contain the following information as appropriate for your facility: Business Name: Sutter Tracy Community Hospital Business Address: 1420 North Tracy Boulevard Tracy CA 95376 City State Zip Code Phone Number: (209) 835. 1500 Type of Facility or Business: Acute Care Hospital REGISTRATION FOR: ❑ Small Quantity Generator with Onsite Treatment(Generates less than 200 lbs/month). ❑ Large Quantity Generator Only (Generates 200 lbs or more/month). E Large Quantity Generator with Onsite Treatment(Generates 200 lbs or more/month). Person responsible for implementation of the Medical Waste Management Plan: Name: Bernard J. Bourque, HEM Title: Safety Officer, Emergencygement and HazMat Coordinator Phone: 209. 596. 2802 Date: Januga 201" 2016 1. List the types of medical waste generated at your facility (i.e. laboratory wastes, blood or body fluids, sharps, contaminated animals, surgical specimens, trace chemo or isolation wastes): All of the above mentioned medical wastes except for contaminated animals a) Do you generate gRy pharmaceutical waste (expired, spent, partials, patient returns)?0 Yes ❑No If yes, describe the type of pharmaceutical waste (expired, spent, partials, patient returns): Expired, spent and partial. We never accept patient returns And estimate the monthly amount of pharmaceutical waste generated at your facility: 850 lbs. 2. Estimate the monthly amount of medical waste (excluding waste pharmaceuticals) generated at your facility: 2,000 lbs. EHD 45-03 5 2015