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DEC/21/2015/MON 06:15 PM FAX No, P. 003 <br />i <br />f. Name, address and phone number of offsite treatment facility where biohazardous (excluding <br />pharmaceutical Waste) and sharps waste is transported for treatment, if different than the <br />hauler; <br />Address: <br />City <br />Phone: <br />State Zip Code <br />g. Name, address and phone number of offsite treatment facility where pharmaceutical waste is <br />transported for treatment, if different than the pharmaceutical waste hauler: <br />Name: <br />Address: <br />Cite <br />Phone: <br />State Zip Code <br />h. Do you handle pharmaceutical waste is classified by the federal Drug Enforcement Agency <br />(DE -,k) as "controlled substances"? Yes ❑ No <br />If yes, describe how the <br />disposed: <br />i. All medical waste generators are required to keep accurate records regarding containment, <br />storage, hauling, treatment and disposal. All medical waste records are to.be maintained and <br />available for review during inspection for twa 2) years. Do you have tracking documents for all <br />medical wastes handled at your facility?: VYes ❑ No <br />j, Describe training provided to staff regarding handling,. storage, disposal, and record keeping of <br />all medical waste, including pharmaceutical wvaste, at your facility:: <br />k. Describe your medical waste ewecgency-action plan, including procedures for handling spills, <br />exposures, equipment failures, etc, (attach information as necessary): <br />FJiD 45-03 7 <br />Received Time Dec. 21. 2015 5:19PM No. 1447 <br />