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GUIDELINES FORTHE 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 inform ation as appropriate for your facility: <br /> DBusiness Name:— +oq� i2eLL6 <br /> Business Address: ? j q- <br /> C,A, ff", LCL t"-E'_ <br /> Q'T-2�L I-;,- <br /> City State Zip Code <br /> Phone Number. ( g0 <br /> Type of Facility or Business: 6-tn'/ Ae� NL, V-S /','I <br /> Ell— <br /> GIST TION <br /> llGISTRATION FOR: <br /> n Small Quantity Generator with site Treatment(Generates less than 2001 month). <br /> §R1 Large Quantity Generator Only(Generates 200 lbs or moretmonth). <br /> F1 Large Quantity Generator with site Treatment(Generates 200 lbs or morelmonth). <br /> Person responsible for implementation of the Medical Waste Management Plan: <br /> A <br /> Name: DCA.V'- i W-S, Title: -fta Yvx t V-L\,S, <br /> Phone: Date: // 5- � I / <br /> I f <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,U-a=chemo or isolatiln wastes <br /> B(oock Cr-1 rsotatz6-- <br /> a) Do ou generate M pharmaceutical waste(expired/outdated,spent,partials,)? <br /> b) to <br /> E]No <br /> If yes,describe the type of pharmaceutical to(expired,spent,partials,outdated,patient <br /> I <br /> returns,etc): ea_eo'�t A&&V-6 &S= <br /> And estimate the monthly amount of pharmaceutical waste generated at your <br /> facility: <br /> ERD 45-03 5 <br /> 10/6r," <br />