Laserfiche WebLink
• to I i. WA <br />descriptionb. Storage area ..utilized, <br />C. On site treatment facilitydescription, includingoftreatmentutilized, <br />maximum capacity, time and temperature necessary, alternate contingency <br />plan in case of equipment failure, etc. bu'MOv <br />isName,address,1-..and phone •:the registered <br />hazardoushaulerr •' .. by.your <br />t0n! ra r �� <br />< .y <br />address,.' r • r ` • • treatment medical�actlit <br />waste is transported • treatment, different than the hauler. <br />f. Do you have a Limited Quantity Hauling Exemption? Who on your staff is <br />authorized • transport yourmedical <br />14 Y► 1 + <br />g. D• you have tracking i for allmedicalwastes handledatyour <br />medicalfacility? All waste generators <br />..•,. required to _.iaccurate records <br />regarding containment, storage, hauling, treatment and disposal. All medical <br />waste records are to be maintained and available for 3 years. <br />yes <br />h. Describe your .emergency actionplan,• procedures f• <br />handlingr exposures, . r <br />Y s <br />111111 rill <br />I hereby certify that to the best of my knowledge and belief that the statements made <br />herein are correct and true. <br />SIGNATURE: �1 �'`r` TITLE: DATE: 1 a-► q <br />H <br />