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Phone: <br /> 9. Name,address and phone number Of Offsite Treatment Facility where pharmaceutical <br /> waste is transported For treatment, if different than pharmaceutical waste hauler: <br /> Hanle: <br /> Address: kli L <br /> City state- Zip Code <br /> Phone: <br /> All medical waste generators are required to keep accurate records regarding <br /> containment,storage,hauling,treatment and disposal. All medical waste records area to <br /> - <br /> be maintained anfor three(3)years. Do 310U <br /> d available for review during inspection <br /> have trick ing documents for all medical wastes haiidled at yonrt'acilit�y: 'IV yes E] No <br /> i. Describe training provided to staff regarding handling, storage, disposal,and record <br /> keeping of all medical waste,including Pharmaceutical waste. at your facility: <br /> Ing <br /> j. Describe your medical waste emergency action plait, including procedure's For <br /> handling spills, exposures, equ Ipment.fai failures, etc: <br /> L <br /> k' <br /> I hereby certify to the best of my knowledge and belief that the statements made herein are <br /> correct and true. r <br /> S fin gliattire, <br /> .Printed Name: <br /> ---------- <br /> Date: <br /> F'I TD 45-03 <br /> 10/6/2006 7 <br />