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• • <br /> f Name, address and phone number of offsite treatment facility where biohazardous (excluding <br /> pharmaceutical waste) and sharps waste is transported for treatment, if different than the <br /> hauler: <br /> Name: V%it 7vin <br /> Address: 5 <br /> 3S <br /> Ci State Zip Code <br /> Phone: f�lJ 8)&5 '35-15- <br /> g. Name, address and phone number of offsite treatment facility where pharmaceutical waste is <br /> transported for treatment, if different than the pharmaceutical waste hauler: <br /> Name: <br /> Address: <br /> City State Zip Code <br /> Phone: ( ) <br /> h. Do you handle pharmaceutical waste that is classified by the federal Drug Enforcement Agency <br /> (DEA) as "controlled substances"? ❑ Yes EKoo <br /> If yes, describe how the "controlled substances"are disposed: <br /> i. All medical waste generators are required to keep accurate records regarding containment, <br /> storage,hauling,treatment and disposal. All medical waste records are to be maintained and <br /> available for review during inspection for two 2)years. Do you have tracking documents for all <br /> ?Ye <br /> medical wastes handled at your facility?: [ s ❑No <br /> j. Describe training provided to staff regarding handling, storage, disposal, and record keeping of <br /> all medical waste, including pharmaceuticalste, at our acility: <br /> Yl L V G <br /> lire <br /> JU % T <br /> k. Describe your medical waste emergency action plan, including procedures for handlin spills, <br /> exposures, equipment fail res, etc. (attach information as nec sal ): 7 111 <br /> VyUO15 <br /> r r c 'mmy, v.w aVAA 6b" <br /> �s a b% Qvea (PWn &I In <br /> a <br /> EHD 45-03 7 <br /> 2015 <br />