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GUIDELINES FOR THE MEDICAL WASTE MANAGEMENT PLAN <br /> (Please Type or Print) NOV 2 6 oA. <br /> Small quantity generators that provide onsite treatment and all large quanti <br /> shall have a medical waste management plan on file with the local enforce �8 <br /> (PHS-EHD). The medical waste management plan shall contain the following information, <br /> as appropriate for your facility: <br /> Business Name: j/�AnI/� &oN(/A-CL;�;Ce-rjT 0s,0. 74-L� <br /> Business Address: <br /> Business Phone: ( -,;201) Y7 7- 02 ? l <br /> Type Of Facility Or Business: dONillgzeSCGp-xvr 'lds Tip-G <br /> Registered As: (Check One) <br /> ( ) Small Quantity Generator With Onsite Treatment. (Generates < 200 lbs./mo.) <br /> (q"' 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: <br /> Title: �� Phone: ( off) - - 7 -7— U a--7/ <br /> ATTACH ADDITIONAL INFORMATION <br /> 1. List the types of medical waste generated at your facility, i.e., Laboratory Wastes, <br /> Bloo or Bodes,Fluids, Sharps, Contaminated Animals, Surgical Specimens, or <br /> Isolation Wastes. (See "Regulated Medical Wastes" on Page 3.) <br /> 2. Estimate the monthly amount of medical waste generated at your facility. <br /> 35o �6s , <br /> 3. Describe the medical waste handling procedures utilized by and applicable to your <br /> facility: 0 5, N c, G ou,•n,s -,.VQ:-L <br /> A-S`rl3'. <br /> a. Onsite location and method for segregation, containment, packaging, <br /> labelling, and collection. <br /> / -CONTINED UON • ARSE- /(,(�<<��. <br /> 6-6- �A'l.� /CJ/J-aa&-L s <br /> 7 <br />