Laserfiche WebLink
0 <br />ENVIRONMENTAL AT EPAT ENT <br />QUtN SAN JOAQUIN COUNTY <br />oP • ""•• c Unit Supervisors <br />?•' •p Donna K. Heran, R.E.H.S. <br />e • ?� 600 East Main Street Carl Borgman, R.E.H.S. <br />Director <br />H. .<Mike Huggins, R.E.H.S., R.D.I. <br />Laurie A. Cotulla, R.E.H.S. Stockton, California 95202 Margaret Lagorio, R.E.H.S. <br />r• Assistant Director Telephone: (209) 468-3420 Robert McClellon, R.E.H.S. <br />cq �;�° Jeff Carruesco, R.E.H.S. <br />cig Fax: (209) 468-3433 <br />Kasey Foley, R.E.H.S. <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 the mailing address <br />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 (209) <br />468-3420 and ask for the Medical Waste Program. <br />Attn: Medical Waste Program <br />San Joaquin County Environmental Health Department <br />600 East Main Street <br />Stockton, CA 95202 <br />EHD 45-03 WEB <br />04/18/08 <br />