Laserfiche WebLink
DEC/21/2016/MON 06:13 PM FAX No. P. 002 <br />2. Estimate the monthly <br />facility: <br />of medical ast (excludin waste pharmaceuticals) generated at your <br />)6 ,..- ': ®3 /5 <br />3. Describe the medical waste handling procedures utilized by and applicable to your facility, including, <br />but not limited to the following: <br />a. Onsite location and method for si <br />I <br />ncluding harms eutical wast <br />collection, <br />b. Storage area description with storage methods utilized for each waste stream including any <br />pharmaceutical waste: <br />c. If medical waste is treated onsite, describe the treatment facility including type of treatment <br />utilized, maximum capacity, time and temperature necessary, alternate contingency plan in case <br />of equipment failure, etc.: <br />d. Name, address, registration number and phone number of the registered hazardous waste <br />hauler employed by your facility for biohazardous (excluding pharmaceutical waste) and <br />sharps waste: j I , <br />Name. <br />Address: <br />Phone: <br />Registration <br />e. Name, address, registration number and phone number of the registered hazardous waste <br />hauler or common carrier employed by your facility for pharmaceutical waste: <br />Name, <br />Address: <br />City stare Zip Code <br />0�'' fo 1-7fr'.-3 741 Z 2 <br />Registration #: 34 � <br />EHD 45-03 6 <br />Received Time Dec.21. 2015 5:19PM No. 1441 <br />W <br />