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0 <br /> GUIDELINES FOR THE MEDICAL WASTE MANAGEMENT <br /> PLAN <br /> Small quantity generators that provide Onsite Treatment and all large quantity generators <br /> shall have a Medical Waste Management plan on file with the San Joaquin County <br /> Environmental Health Department. The Medical Waste Management Plan shall contain the <br /> following information as appropriate for your facility: ` t <br /> Business Name: 'bavifa-, Ytyink- Iva-f <br /> Business Address: Knew a-e <br /> City State -^* Zip Code <br /> Phone Number: 61109 ) ® � <br /> Type of Facility or Business: C_ <br /> REGISTRATION FOR: <br /> ❑ Small Quantity Generator with Onsite Treatment(Generates less than 200lbs/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: Title: fi <br /> Phone: '" �f —' ;�� Date: <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 specimens,trace c emo or isolation wastes": <br /> JIVX fA0j1lH'C(A 1A 9a& <br /> a) Ido you generate aM pharmaceutical waste(expired/outdated,spent,partials,)? <br /> b) C&Yes ❑No <br /> If yes, describe the type of pharmaceutical waste(expired,spent,partials,outdated,patient <br /> returns',etc)l , A � <br /> And estimate the monthly amount of pharmaceutical waste generated at your <br /> facility: <br /> EHD 45-03 5 <br /> 10/6/2006 <br />