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0 0 <br /> 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: J��1 � � <br /> Business Address: <br /> L1 C11\ <br /> City State Zip Code <br /> Phone Number: �35 2 z <br /> Type of Facility or Business: 1� <br /> REGISTRATION FOR: <br /> ❑ Small Quantity Generator with Onsite Treatment(Generates less than 2001bs/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: Title: �VE 121EELZK <br /> Phone: Date:_ j <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 /> a) Do y u generate any pharmaceutical waste(expired/outdated,spent,partials,)? <br /> b) Yes ❑No <br /> If yes,describe the type of pharmaceutical waste(expired,spent,partials,outdated,patient <br /> returns,etc): <br /> ,-y <br /> And estimate the monthly amount of pharmaceutical waste generated at your <br /> facility: D —(5 ([�4, <br /> EHD 45-03 5 <br /> 10/6/2006 <br />