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Do you operate a common storage facility?_NO <br /> If so,please list on a separate sheet the business address of each small quantity generator pooling <br /> his medical waste in this facility, NO <br /> Will you apply or have applied for a limited quantity hauling exemption?NO <br /> If so,who on your staff is authorized to haul? .Title: <br /> Please list on a separate sheet the names of additional staff authorized to haul medical waste. <br /> Name of facility where waste is hauled: <br /> Address: <br /> Will medical waste be hauled to a treatment facility other than used by your medical waste <br /> hauler?NO <br /> If so,Please give name and address of facility: <br /> Are there generators in the same building,or operating in different buildings on the same or <br /> adjacent property,with whom you have registered as one generator of Medical Waste?NO <br /> If so,please list on a separate sheet then and address of each facility. <br /> In the event of failure of the plan described above, (e.g. medical waste hauler is unable to pick- <br /> up the medical waste at the designated time),what will be the alternative method of treatment <br /> and/or disposal of medical waste.We will treat medical waste in the autoclave in an <br /> aDDromiate red ba&sterilize and disggse of the treated waste and keeg recoE&to the <br /> LrAetment. <br /> What will you do if medical waste is spilled? <br /> I. Employee must wear heavy duty nitrile rubber gloves,a fluid resistant gown and safety <br /> goggles or face shield with mask. <br /> 2. A vacuum regular or wet/dry vacuum AL4 Y NOT be used to clean-up broken glassware. <br /> 3. Broken glassware which may be contaminated must be cleaned up using mechanical <br /> means,such as a brush and dust pan,tongs,or forceps-never directly with hands. The <br /> broken glassware must be discarded in the sharps.container. <br /> 4. After removing the glass,dispose of glass in the Sharps,container. <br /> S. Soak up the spill with disposable paper towels. Dispose of paper towels in a plastic red <br /> biohazardous waste bag, <br /> 6. Disinfect the area,using the intermediate level disinfectant,following the manufactures <br /> contact time. <br /> 7. Remove personal protective equipment and wash hands. <br /> Note: Medical waste generators must keep accurate records relative to storage,hauling,treatment <br /> and disposal of medical waste. <br /> 6 <br />