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IVA L HEALTH APARTMENT <br /> ENVIR011 NTA <br /> p4ulNSAN JOAQUIN COUNTY Unit supervisors <br /> o' 'coG Donna K.Heran,R.E.H.S. 304 East Weber Avenue,Third Floor Carl Borgman,R.E.H.S. <br /> Director Mike Huggins,R.E.H.S.,R.D.I. <br /> � { Al Olsen,R.E.H.S. Stockton, California 95202 Douglas W.Wilson,R.E.H.S. <br /> Program Manager Telephone: (209)468-3420 Margaret Lagorio,R.E.H.S. <br /> P Laurie A.Cotulla,R.E.H.S. Robert McClellon,R.E.H.S. <br /> �gciF®R�� Pro Fax: (209)468-3433 <br /> Program Manager g Mark Bazcellos,R.E.H.S. <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 3 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 <br /> Page 4. <br /> b. Complete a"Medical Waste Management Plan" following the guidelines <br /> provided on Page 5. <br /> c. Return the completed forms and management plan to Kasey Foley at the <br /> mailing address below. <br /> Your cooperation in promptly registering and following the specified handling requirements is <br /> greatly appreciated. <br /> If you have any questions regarding registration or handling requirements,please contact <br /> Kasey Foley at (209)468-3451. <br /> RETURN ALL COMPLETED FORMS TO: <br /> Kasey Foley,R.E.H.S.,Medical Waste Program <br /> San Joaquin County Environmental Health Department <br /> 304 East Weber Avenue, 3rd Floor, Stockton, CA 95202 <br /> EHD 45-02-003 Page 1 of 7 <br />