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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: R <br /> Business Address-, AQ cf, f <br /> � ® <br /> City State Zip Code <br /> Phone Number: ( ) 7-3® <br /> Type of Facility or Business: 1 L-LC fp <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: s L Title: <br /> Phone: a -73— 3 3c (OC Date: <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,trace chemo or isolation wastes": <br /> 014 ��s ,^ <br /> a) ou generate�pharmaceutical waste(expired/outdated,spent,partials,)? <br /> XY <br /> b) es ❑No <br /> If yes, describe the type of pharmaceutical waste(expired, spent,partials,outdated,patient <br /> returns, etc): <br /> And estimate) e mon ily amount of pharmaceutical waste generated at your <br /> facility: '3 774 <br /> EHD 45-03 5 <br /> 10/6/2006 <br />