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Phone: <br /> g Name,address and phone number of Ofisite Treatment Facility where pharmaceutical <br /> waste is ftwisported for treatment,if different than pharmaceutical waste hauler- <br /> Name: <br /> Address: <br /> city State Zip Code <br /> Phone: <br /> h. All medical waste generators are required to keep accurate records regarding <br /> containment,storage,hauling,treatment and disposal. All nuxflcal waste records area to <br /> be maintained and available for review during inspection for three(3)years. Do you <br /> have tracking documents for all medical wastes handled at your facility: b9les 0 No <br /> i. Describe ti-dining provided to staff regarding handling,storage,disposal,and record <br /> keeping of all medical waste,incl in pharacentical waste,at your facility: <br /> Ninj A cf�,--t ► <br /> % <br /> j. Describe your medical waste emergency action plan, including procedures for <br /> handling spills,exposures,equipment f <br /> 'IU etc: <br /> W-e A 0 J6'a�i-.."i <br /> I hereby certify to the best of my knowledge and belief that the statements made hervin are <br /> corTect and <br /> Si Ns Printed Name: <br /> Title:- <br /> Date: <br /> EM 45-03 7 <br /> 10/6CO06 <br />