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MAY-03-11 09:21 FROM- 6 Is T-093 P.04/13 F-462 <br /> GUIDELINES FOR THE MEDICAL WASTE MANAGEMENT <br /> PLAN <br /> Small quantity generators that provide Onsite Treatment and all large quantity generators <br /> shall have a Medical Waste Management plan on file with the San Joaquin County <br /> Environmental Health Department. The Medical Waste Management Plan shall contain the <br /> following information as appropriate for your facility: �_Wno <br /> d9l - <br /> /c-Business Name: <br /> Business Address: �� ` ''► ��'`�`0, <br /> Z _ <br /> °J <br /> City state Zip Code <br /> Phone Number: <br /> Type of Facility or Business: `-� 'r u& <br /> REGISTRATION FOR: <br /> 0 all Quantity Generator with Onsite Treatment(Generates less than 2001bs/month). <br /> La <br /> Quantity Generator Only(Generates 200 lbs or more/month). <br /> Q Large Quantity Generator with Onsite Treatment(Generates 200 lbs or more/month). <br /> Person responsible for implementation of the Medical Waste Management Plan: //��---- <br /> Name: �l it3 Title:& ec-& 1 Sc/� <br /> Phone: �I �� Date: ! 1 <br /> 1. Gist the types of medical waste generated at your facility,i.e., laboratory wastes,blood or body <br /> fluff harps,contaminate anitpals,surgi al specime s chemo isolation w e ': <br /> �/� did ls cam® e <br /> a Do y l enerate any pharmaceutical waste(expired/outdated,spent,partials,)? <br /> b) es ❑No <br /> If yes,describe the type of pharmaceutical waste(expired,spent,partials,outdated,patient <br /> returns,etc): <br /> And estimate the rr�pjijuWy amount of pharmaceutical waste generated at your <br /> facility: /020d' <br /> LAD 45-03 5 <br /> 10/6!?006 <br />