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0 <br />01 Medical <br />Wii::Oe siT r m <br />BROWNING -FERRIS INDUSTRIES <br />Fresno District <br />MASTER PLAN FOR OFF-SITE INFECTIOUS WASTE DISPOSAL <br />The following plan is submitted for the purpose of explaining t <br />infectious waste disposal service provided by Bingham, a divisi- <br />of BFI Hospital Waste Systems. <br />Collectively, the procedures and methods used to separate and <br />handle infectious waste are those required by Title 22 of the <br />California Administrative Code, and the California Health and <br />Safety Code. <br />A. PRODUCERS OF INFECTIOUS WASTE <br />The State of California has determined that infectious waste po <br />a health hazard based either upon the potential virulence of th�:: <br />waste item, or the sheer volume of material present. As a resu'l- <br />the regulations apply to any health care facility which is <br />licensed under one of the following categories: <br />. General acute care hospital <br />. Acute psychiatric hospital <br />. Skilled nursing facility <br />. Intermediate care facility <br />. Intermediate care facility for the <br />developmentally disabled <br />It also encompasses any of the following primary care clinics <br />defined and licensed under Chapter 1, Division,2 of the Health <br />Safety Code: <br />. Community clinics <br />. Free clinics <br />• Employee clinics <br />. Surgical clinics <br />. Chronic dialysis clinics <br />. Rehabilitation clinics <br />These facilities have been included in the regulations due to <br />concentration of potentially harmful organisms in the waste <br />products. Like the five categories above, these facilities ars <br />regulated regardless of the volume of material generated. <br />Sheer volume of material poses a threat as well. It.is estimat <br />that California generates upwards of 90 million pounds of <br />infectious waste each year. Therefore, ANY producer of more ti <br />100 kilograms (220 pounds) per month of infectious waste must <br />comply with regulations. For example, although not specifical, <br />listed above, the 100 kilogram clause could include many <br />physician's offices, veterinarians, research centers, <br />laboratories, or urgent care centers. <br />4135'WEST SWIFT AVENUE • FRESNO, CALIFORNIA 93722 9 (209) 275.0991 <br />