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• • <br /> EN mONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUI N COUNTY <br /> 1868 E. Razelton Avenue <br /> Stockton, California. 95205 <br /> Telephone: (209)468-3420 <br /> Fax: (209)468-8392 <br /> C"'UIDELINES FOR THE MEDICAL WASTE MA.NA,G)t:ENT PLAN <br /> Small quwatity generators that .provide onsite treatment anal all large quantity generators shall have a <br /> Medical Waste Management plan on file with the San Joaquin County EnvirozimenLal Health Department. <br /> The Medical Waste Mtmagement Plan shall contain the following information as appropriate for your <br /> facility: ! <br /> Business Name: VL`�'G( �C1l.Ct �a�a.Cy�cS <br /> Business Address- l� (� � f �erv>u�l � w-�l e .Stj Lte- 0 -- <br /> City t� State Zip Code <br /> .'hone Number: <br /> Type of Facility or Businm. <br /> REGISTRATION 1+O1Ei: <br /> ❑ Small Quantity Generator with Onsitc Treatment(Generates less thmi 2001bs/month). <br /> Large,Quantity Generator Only(Genciates 200 lbs or]meow/mo)nth), <br /> ❑ Large Quantity Generator with Onsite Treatment(Generates 200 lbs or more/month). <br /> Person responsible for implementation of the Medical Waste Management Pian: <br /> beaflAe)l P-MC,ve�� Title:Name: .._.,. ab�l <br /> Phone: �LOJ" 53q—l bbb _ . Date: 9/2-3[101 L. <br /> 1. List the types ofmcdical waste generated at your facility (i.e. laboratory Wastes, blood or body <br /> uids sl ai ps} c on.t• nmated animals, surgical specimens, trace ch.eilN m i.•(latiOl wastes): <br /> ?uC�4Llf1vt'(As,, 3b1GtY S� PhOL <br /> a)Do you generate aM pharmaceutical waste(expired,Spent,parLtals,patient retards)'. Yes ❑No <br /> .f yes, describe the type ol'pharm ceuticaI ste(cpirec1,spent, partials,patient returns): <br /> And estimate the monthly amount of pharmaceutical waste generated at your facility: <br /> EIM 45-03 S <br /> 2015 <br /> Z 'd 9808 '°N Ad01 :� 9106 'C6 'd;S <br />