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GUIDELINES FOR THE AL WASTE MANAGEMENT <br /> A <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: <br /> Business Name:Manteca Dialysis <br /> Business Address: 1620 W Yosemite Ave <br /> Manteca CA 95337 <br /> City State Zip Code <br /> Phone Number: 209 825-3905 <br /> Type of Facility or Business:Dialysis Facility <br /> REGISTRATION FOR: <br /> ❑ Small Quantity Generator with Onsite Treatment(Generates less than 200lbshnonth). <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: ,Jennifer Mount Title:Facility Administrator <br /> Phone:209-825-3905 Date:08/10/2016 <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 chemo or isolation wastes": <br /> blood or bloody fluids,sharps and isolation wastes <br /> a) Do you generate aU pharmaceutical waste(expired/outdated, spent,partials,)? <br /> b) ❑Yes ❑No <br /> If yes, describe the type of pharmaceutical waste(expired, spent,partials, outdated,patient <br /> returns,etc): <br /> expired and outdated <br /> And estimate the monthly amount of pharmaceutical waste generated at your <br /> facility:20 lbs <br /> EHD 45-03 5 <br /> 10/6/2006 <br />