Laserfiche WebLink
lil <br />L:] <br />GUIDELINESO' THE MEDICALMANAGEMENT <br />'` <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 San Joaquin County <br />Environmental Health Department. The Medical Waste Management Plan shall contain the <br />following information as appropriate for your facility: <br />Business Name: <br />Business Address: `15 /7 6�71/ <br />City State Zip Code <br />Phone Number: ) <br />Type of Facility or Business: <br />— 455A //&�o muzgf��4,!Z�' Ll 7�1 <br />❑ Small Quantity Generator with Onsite Treatment (Generates less than 2001bs/month). <br />Large Quantity Generator Only (Generates 200 lbs or more/month). <br />❑ Large Quantity Generator with Onsite Treatment (Generates 200 lbs or more/month). <br />Person responsible for implementation of the Medical Waste Management Plan: <br />Name: <br />Title: <br />Phone: <br />) <br />Date: <br />List the types of medical waste generated at your facility, i.e., laboratory wastes, blood or body <br />fluids, sharps, contaminated animals surgicalspecimens, trace chemo or isolation wastes": <br />a) Do you generate My pharmaceutical waste (expired/outdated, spent, partials,)? <br />b) Yes ❑ No <br />If yes, describe the type of pharmaceutical waste (expired, spent, partials, outdated, patient <br />returns, etc): <br />And estimate the monthly amount of pharmaceutical waste generated at your <br />facility: / —5�f <br />EHD 45-03 <br />10/6/2006 <br />