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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: j j r. and V16 <br /> Business Address: #iii! <br /> �n06 CA. �5�-i� z- <br /> City State �f Zip Code <br /> Phone Number: (Z-69 171 <br /> f <br /> Type of Facility or Business: A�2alllfz AL!�, <br /> REGISTRATION FOR: <br /> ❑ Small Quantity Generator with Onsite Treatment(Generates less than 200lbs/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: 4� Title: �V64 <br /> Phone: Z-Pel'l , Date: <br /> 1. List the types of medical waste generated at your facility, i.e., laboratory wastes,blood or body <br /> fluids,sbarps,contaminated animals, surgical specimens,trace chemo or isolation wastes": <br /> s 4 01 x <br /> a) Do you generate a_y pharmaceutical waste(expired/outdated, spent,partials,)? <br /> b) LP <br /> Yes ❑No <br /> If yes,describe the type of pharmaceutical waste(expired, spent,partials,outdated,patient <br /> returns,etc): <br /> And estimate the monthlyam unt of pharmaceutical waste generated at your <br /> facility: % �rt� <br /> EHD 45-03 5 <br /> 10/6/2006 <br />