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GUIDELINES FOR THE MEDICAL WASTE MANAGEMENT <br /> PLAN <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: CO <br /> Business Address: Z?,7 1/ <br /> City <br /> State Zip Code <br /> Phone Number: <br /> Type of Facility or Business: <br /> REGISTRATION FOR: <br /> F] Small Quantity Generator with Onsite Treatment(Generates less than 2001bs/nionth). <br /> XLarge 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* Title:. 4, <br /> 6: ell <br /> A, <br /> Phone: o 9) Date: C?le, <br /> 1. List the types of medical waste generated at your facility, i.e., laboratory wastes,blood or body <br /> fluids, sharps,contaminated am ials, surgical s <br /> h/09 q, cW -a pecimens,trace chemo or isolation wastes": <br /> a) Do ou generate any pharmaceutical waste(expired/outdated, spent,partials,)? <br /> b) <br /> Do <br /> [I No <br /> if yes,describe the type of pharmaceutical waste(expired,spent,partials,outdated,patient <br /> returns, etc): 1d4 <br /> And estimate the monthly amount of pharmaceutical waste generated at your <br /> facility: /0 <br /> 0 ,9 <br /> FAD 45-03 <br /> 10/6/2006 5 <br />