Laserfiche WebLink
Registrati <br /> f. Name, address and phone number of Offsite Treatment Facility where biohazardous <br /> (excluding pharmaceutical waste) and sharps waste is transported for treatment, if different than <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 <br /> is transported for treatment, if different than pharmaceutical waste hauler: <br /> Name: <br /> Address: <br /> City State Zip Code <br /> Phone: ( ) <br /> h. All medical waste generators are required to keep accurate records regarding containment, <br /> storage, hauling, treatment and disposal. All medical waste records area to be maintained and <br /> available for review during inspection for three (3) years. Do you have tracking documents for <br /> all medical wastes handled at your facility: ❑ Yes ❑ No <br /> i. Describe training provided to staff regarding handling, storage, disposal, and record keeping of <br /> all medical waste, including pharmaceutical waste, at your facility: <br /> j. Describe your medical waste emergency action plan, including procedures for handling spills, <br /> exposures, equipment failures, etc: <br /> I hereby certify to the best of my knowledge and belief that the statements made herein are correct and true. <br /> Signature: Title: <br /> Date: <br /> EHD 45-03 Page 3 <br /> 6/8/05 <br />