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6 0 <br /> REGULATED MEDICAL WASTE <br /> ® Laboratory Waste—specimen or microbiologic cultures, stocks of infectious agents, <br /> live and attenuated vaccines, and culture mediums. <br /> ® Blood or Body Fluids—liquid blood elements or other regulated body fluids, or articles <br /> contaminated with blood or body fluids. <br /> ® Sharps—syringes, needles, blades,broken glass <br /> ® Contaminated Animals—animal carcasses,body parts,bedding materials <br /> ® Surgical Specimens—human or animal parts or tissues removed surgically or by autopsy <br /> ® Isolation Wastes—waste contaminated with excretion, exudate, or secretions from <br /> humans or animals who are isolated due only to the highly communicable diseases listed <br /> by Center for Disease Control as requiring Bio-safety Level 4 precautions. * <br /> 1. Does your business or service generate any of the medical wastes above? ®Yes ONo <br /> If your answer is NO,_please complete the "Certification Statement"on page 5 and return it <br /> with this questionnaire to the address indicated. You do no need to complete the remainder <br /> of this questionnaire. <br /> If your answer is YES,please checked the type(s) of waste listed above that you or your <br /> facility generate.Please complete the rest of the questionnaire. <br /> 2. Do you generate less than 200 pounds of medical waste per month? If YES, you are small <br /> generator. ❑Yes ®No <br /> 3. Small generators may store their medical waste in a permitted common storage facility with <br /> other small generators. Do you plan to do this at your facility? ❑Yes ®No <br /> 4. Do you generate 200 or more pounds per month of the types of medical waste listed? <br /> ®Yes ❑No <br />