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J n it n lt Department <br /> COUNTY <br /> �IrrFo��P. Greoines.s grows herd. <br /> INFORMATION PACKET FOR MEDICAL WASTE GENERATORS <br /> This packet contains the information and forms you will need to help you comply with the <br /> Medical Waste Management Act. <br /> Instructions <br /> Please return the completed forms prior to medical waste generation or treatment. <br /> 1. Complete the "Pre-Application Questionnaire" on Page 2. If your answers indicate <br /> you are not required to register as a medical waste generator, then complete the <br /> "Certification Statement" on Page 4 and return both complete forms to the mailing <br /> address below. <br /> 2. If you are required to register as a medical waste generator, as indicated by affirmative <br /> answers to questions 3 &4 on the "Pre-Application Questionnaire", then: <br /> a. Complete the "Registration for Medical Waste" form located on Page 5. 3 <br /> b. Complete a "Medical Waste Management Plan" following the guidelines <br /> starting on Page 6. <br /> c. Return the completed forms and management plan to the mailing address below. <br /> 4 <br /> Your cooperation in promptly registering and following the specified handling requirements <br /> is greatly appreciated. <br /> If you have any questions regarding registration or handling requirements, please contact <br /> us at (209) 468-3420 and ask for assistance in the Medical Waste Program. <br /> 9 <br /> RETURN ALL COMPLETED FORMS TO; <br /> San Joaquin County Environmental Health Department <br /> 1868 E. Hazelton Ave. <br /> Stockton, CA 95205 <br /> Attn: Medical Waste Program <br /> IPAO C Worms If^n Bvonno I Cf^M fAn f olifnrnio Or ,lnr. I T Inn Arg-WO)n I C 7110 APA-MIP I %AAAAA1 cinoh'I n^M <br />