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GUIDEIJNES FOR THE MEDICAL WASTE MANAGEMENT <br /> (Please Type or Print) <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 local enforcement agency <br /> (PHS-EHD). The medical waste management planshall contain the following information, <br /> as appropriate for your facility: <br /> Business Name: <br /> Business Address: 771-14 e � <br /> Business Phone: f 9) 7,/ <br /> Type Of Facility Or Business: e4 c <br /> Registered As: (Check One) <br /> O <br /> Small Quantity Generator With OnsiteTreatment. (Generates C 200 lbs./ o.) <br /> (4 Large Quantity Generator. (Generates 200 lbs. or ore/ o.) <br /> O Large Quantity Generator With OnsiteTreatment. (Generates 200 lbs.or mare/mo.) <br /> Person Responsible For Implementation f The Plan: <br /> Name. r� . '•sh w � 1-46 l am. <br /> Title: L�-a Phone: 9 4 7,� `lr <br /> ATTACH TION <br /> 1. List the types of medical waste generated at your facility, i.e., Laboratory Wastes, <br /> Blood or Body Fluids, Sharps, to ated Animals, Surgical Specimens, or <br /> Isolation Wastes. (See "Regulated a 'cal Wastes" on Page 3.) <br /> 2. Estimate the monthly amount of medicalto generated at your facility. <br /> 3. Describe the medical waste handling procedures utilized by and applicable to your <br /> facility: <br /> a. Onsite location and method for segregation, containment, packaging, <br /> labelling, and collection. <br /> -C • REVERSE- <br /> 7 <br />