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DEC/21/2015/MON 06:13 Phi <br />2. Estimate the monthly <br />facility: <br />IN <br />FAX No, <br />P. 002 <br />(excluding waste pharmaceuticals) generated at your <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 se€ <br />including pharmaceutical waste: <br />packaging, labeling and 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: A If <br />Dame: <br />Address: <br />Phone: <br />Registration #: T I/O d <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 <br />Phone: <br />Registration #: <br />MD 45-03 { <br />Received Time Dec,21, 2015 5:19PM No.1447 <br />Stare Zip Code <br />W <br />