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GUIDELINES FOR THE MEDICAL WASTE MANAGEMENT PLAN <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: 11 <br /> Business Name: ry 't of <br /> Business Address: 11--Z ac <br /> O n1 rc a_ <br /> City State Zip Code <br /> Phone Number: (X®q ) <br /> Type of Facility or Business: [ a\�L6C\ <br /> REGISTRATION FOR: <br /> ❑ Small Quantity Generator with Onsite Treatment (Generates less than 2001bs/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: iSrfo n (` et te( - Title:Cevker t(eC�- Date: -16-67 <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 s ecimens or isolation wastes: (See "Regulated <br /> Medical Wastes" listed on Page 2). 10.Z <br /> G b wt` kq <br /> Q�COwv� I Ma�� VGCCtvt� -r-Vt-k VQcr1vyP'. <br /> 2. Estimate the monthly amount of medical waste generated at your facility: �CGG_ 1,200 16�s <br /> 3. Describe the medical waste handling procedures utilized by and applicable to your facility, including, <br /> but not limited to the following: <br /> a. Onsite location and method for segregation, containment, packaging, labeling and collection: <br /> 6r w&--G 13 K e rA pkar +v cr,o�,,,A� roaarkP r <br /> 4-10 c se r e �Yb 0 fP3i ha r <br /> k 6kpc . e IoSe , <br /> C-o 4oKa 4a hj 0,1 e <br /> EHD 45-02-003 Page 5 of 7 <br /> 10/6/2003 <br />