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DEO/21/2015/14ON 06:13 Phi FAX No. P.003 <br />f Name, address and phone number of offsite treatment facility where Ia hazardous (excluding <br />pharmaceutical este) and sharps waste is transported for treatment, if different than the <br />hauler; <br />Name: i1? 6e <br />Address: <br />City State Zip Coda <br />Phone: ( 1 <br />g. Name, address and phone number of offsite treatment facility where pharmaceutical wvaste is <br />transported for treatment, if different than the pharmaceutical waste hauler: <br />Name: <br />Address: <br />City State Zip Code <br />Phone: ( 1 <br />h. Do you handle pharmaceutical waste that is classified by the federal Drug Enforcement Agency <br />(DEA) as "controlled substances"? ❑ Yes ❑ No <br />If yes, describe how the "controlled substances" are disposed: <br />L ,All medical waste generators are required to keep accurate recotds regarding containment, <br />storage, hauling, treatment and disposal. All medical waste records are to be maintained and <br />available fox review during inspection fortwo -2) years. Do you have tracking documents for all <br />medical wastes handled at your facility?: UYes ❑ No <br />j. Describe training provided to staff regarding handling, storage, disposal, and record keeping of <br />all medical waste, including pharmaceutical waste, at your facility: <br />k. Describe yo-ut iue&cal waste eiiieigeuc7 action plaii, ilicluding procedures for handling spills, <br />exposures, equipment failures, etc. (attach information as necessary): <br />L'HD 45-03 <br />Received Time Dec. 21. 2015 5:19PiM No. 1447 <br />