Laserfiche WebLink
GUIDDELINES FOR MEDICAL WASTE ALANAGEMENT <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: jD <br /> :g=l +.ck i2p�tj q,.,J Gke Cz,,,L <br /> Business Address: �50 (Av' vlru� Lav-e- <br /> " 131- <br /> City State zip CO& <br /> Phone Number: aO9 ) g'- <br /> Type of Facility or Business: <br /> REGISTRATION FOR: <br /> El Small Quantity Generator with Onsite Treatment(Generates less than 200lbs/month). <br /> 53' Large Quantity Generator Only(Generates 200 lbs or more/month). <br /> El Large Quantity Generator with Onsite Treatment(Generates 200 lbs;or morelmonth). <br /> Person responsible for implementation of the Medical Waste Management Plan: <br /> " <br /> A_V-,_\ :t ( (!I i Title: - <br /> Name: DC Acl YK�vx <br /> - <br /> Phone: ri3--S 4- 19 1 Date:— qllh <br /> I r <br /> 1. List the types of medical waste generated at your facility,i.e.,laboratory wastes,blood or body <br /> fluids,sharps,contaminated animals,surgical specimens,awe chemo or isolatir wastes": <br /> —Rtnoct C'-t <br /> a) Do you generate my pharmaceutical waste(expired/outdated,spent,partialsj? <br /> b) KYes El No <br /> If yes,describe the type of pharmaceutical waste(expired,spent,partials,outdated,patient <br /> returns,etc): , .11 <br /> &4�t 61-" Vi6fa-W <br /> And estimate the monthly amount of pharmaceutical waste generated at your <br /> facility: <br /> EM 45-03 5 <br /> 10/6t2M <br />