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Phone: <br /> g. Name,address and phone number of Offifte Treatment Facility where pharmaceutical <br /> waste is transported 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 medical 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: tg"?es n No <br /> i. Describe training provided to staff regarding handling,storage,disposal,and record <br /> keeping of all medical waste,incl ding pharmaceutical waste,at your facility: <br /> W-t c <br /> '4t3nzdd'gS:1 V 1"NS-e, 5LU.= <br /> j. Desefibe your medical waste emergency action plan, including procedures for <br /> handling spills,exposures,equipment f 1 U etc: <br /> A-0 ^%j AA <br /> I hereby certify to the best of my knowledge and belief that the statements made herein are <br /> correct and true. <br /> Signature: <br /> Printed Name: <br /> Title: <br /> Date: <br /> EM 45-03 7 <br /> 1016rAW <br />