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06/09,'2005 14: 10 4640138 ENVIRONMENTAL HEALTH PAGE 03 <br /> a <br /> If yes, describe the type of pbarmaceutical waste (expired, spent, parte outdated,patient returns, - <br /> etc): I Pr lI 1 4 <br /> T-d <br /> And estimate the monthly amount of pharmaceutical waste generated at your <br /> facility: � JAdn_-5- 4 <br /> 'gq1la-5 <br /> 2. Estimate the monthly amount of medical waste (excluding waste pharmaceuticals) generated at your <br /> facility; a/I <br /> 3. Describe the medical waste handling procedures utilized by and applicable to your facility, including, <br /> but not limited to the following: <br /> a. Onsite location and method for segregation, containment, packaging, labe 'ng and collection, <br /> including Phar aceutical waste: <br /> ±2 <br /> LADL&Iaz� IA-.oj L2&�, <br /> ir 0 <br /> b. Storage area description with storage Methods ilized for each tivaste stream incl f ding any <br /> pharmaceutical waste:_ <br /> c. If medical waste is treated onsite, describe the treatment facility including type of treatment <br /> utilized, maximurn capacity,time and temperature necessary, alternate contingency plan in case <br /> of equipment failure, etc-. AJ <br /> d. Name, address, registration number and phone number of the registered hazardous waste <br /> hauler employed by your facility for biohazardous (excluding pharmaceutical waste) and <br /> sharps waste: i <br /> Name: _ <br /> C C <br /> jZ <br /> --- �Address ____61---r r D&,�, <br /> '�c <br /> ca <br /> P-2-16— <br /> City State Zip Code <br /> Phone: <br /> Registration <br /> e. Name., address, registration number and phone number of the registered hazardous waste <br /> hauler employed by your facility for pharmaceutical waste: <br /> Name: et <br /> Address: L13 <br /> -7q St to Zip Code <br /> Phone: <br /> FMD 45-03 Page 2 <br />