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Ar 1 ,11111.1tc the Illolltlll\ ai11',U111 All IllediCal \1il,Ie (cWtldln' at %,)(It, <br /> Dc,Crihe the medical \\a,tc ha11d11112 pr„cedurc, utiliied h\ and ahl,licahlc t" \,+ur facilit\. includin <br /> hul n,,t limited to the foll,wvi[I': <br /> (111,ItC locati(,n Lind method t )l' Se_'1'e`alltln. C„I1tainnie11t. haCha_111". la�ellll` ill 11 c„11 'Cll ill. <br /> including,, pharmaceutical waste: 1C41 <br /> ,—�� �y—ra�'�c►�—f-//`�jA �� iv2 <br /> AIW k ra`'e area descriptlon \\Ith stora_L'c LIU117cd t,q"each \\agile itrea111 inelliding; all% <br /> pharmaceutical \•Nastc: meal S44 —js <br /> ar <br /> gin < < f <br /> AIV <br /> It nlCdlcal t%ante 1-, treated de-;Crlhe the 11'eaMIC111 t;IC110 II1C1Ud1111-' t\Ile tlt ll'catnlcnt <br /> Mill/ed. I113\1111l1111 CIj)JL:IL\. tlllle and tcI1lpel':ItLlre altel'llale C0Il1ill1_'CnC\ plall ill Ca,e <br /> X11 e+111)MC111 tallLll'e. CIC: <br /> d. �;lllle. addre-' . 1'e_'Iitrati011 IILII111-'e1'aihl 01'111C rc'_'Iilercd hazardous waStc <br /> hauler cn11�1�1\ed h\ \01.11' faeilit\ for hiohazardous and <br /> sharps waste: <1 <br /> Adilre»: 411S" 1�1� . <br /> fiy �< < <br /> "2!!!5eaj.410 37ZZ <br /> Cn State Zip Code <br /> Phone: (� 7 4t2 Z-- <br /> Registration #: S AS TZ <br /> e. \ante. address. registration numb/and phone number of the registered hazardous waste <br /> hauler enlplo\ed b) )our faCllit\ fur pharmaceutical waste: <br /> i <br /> \anle: <br /> Addre s s: <br /> "late Zip Code <br /> Phone: I 1 <br /> Re,isu'ation ;_: <br /> f. Name. address and phone number of Offsite Treatment Facility where biohazardous <br /> (excluding pharmaceutical waste)and sharps waste is transported for treatment, if different <br /> than hauler: <br /> Name: .S' �Y�Z C <br /> Address: <br /> Cit\ State 7ip Code <br /> Phone: <br /> - I <br />