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ENVIRONMENTAL 1 <br />SAN JOAQUIN COUNTY <br />304 East Weber Avenue, Third Floor <br />Stockton, California 95202 <br />Telephone: (209) 468-3420 <br />Fax: (209) 468-3433 <br />Small quantity generators that provide Onsite Treatment and all large quantity generators shall have a <br />Medical Waste Management plan on file with the San Joaquin County Environmental Health Department. <br />The Medical Waste Management Plan shall contain the following information as appropriate for your <br />facility: <br />Business Name: <br />Business Address: <br />City <br />Phone Number: <br />Type of Facility or Business: <br />State Zip Code <br />❑ Small Quantity Generator with Onsite Treatment (Generates less than 200 lbs/month). <br />❑ Large Quantity Generator Only (Generates 200 lbs or more/month). <br />❑ 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: <br />Phone: <br />Title: <br />ME <br />1. List the types of medical waste generated at your facility, i.e., laboratory wastes, blood or body <br />fluids, sharps, contaminated animals, surgical specimens, trace chemo or isolation wastes": <br />a) Do you generate a_y pharmaceutical waste (expired, spent, partials, outdated)? ❑ Yes ❑ No <br />EHD 45-03 Page 1 <br />6/8/05 <br />