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DEC/21/2015/MON 06:13 PM FAX No, P.003 <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 />Name: <br />.Address: <br />City State Zip Code <br />Phone: <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 />City state Zip Code <br />Phone - <br />3 <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 records regarding containment, <br />storage, hauling, treatment and disposal. All medical waste records are to be maintained and <br />available for review during inspection fortwo 2) years_ Do you have tracking documents for all <br />medical wastes handled at your facility?: UYes ❑ No <br />Describe training provided to staff regarding handling, storage, disposal, and record keeping of <br />all medical waste, including pharmaceutical waste, at your facility: <br />lc. Describe your medical waste emergency action plan, including procedures for handling spills, <br />exposures, equipment failures, etc. (attach information as necessary): <br />EHn 45-03 7 <br />Received Time Dec,21. 2015 5:19PM No,1441 <br />