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r' a <br /> SAN JOAQUIN COUNTY PUBLIC HEALTH SERVICES <br /> ENVIRONMENTAL HEALTH DIVISION <br /> INFORMATION PACKET FOR MEDICAL WASTE GENERATORS <br /> As of January 1991, all generators of regulated medical waste are subject to the registration requirements <br /> pursuant to the Medical Waste Management Act. Facilities that treat medical waste onsite are required to <br /> register prior to the commencement of treatment. This packet contains information and forms to help you <br /> comply with the 1fedical Waste Management Act, however, you should refer to the Medical Waste <br /> Management Act for any specific requirements that may not be contained in this packet. <br /> INSTRUCTIONS <br /> 1. Complete the "Pre-Application Questionnaire" on Page 2 . If your answers indicate you are <br /> not required to register as a medical waste generator, then complete the "Certification <br /> Statement" on Page 3 and return both completed forms to the mailing address listed below. <br /> 2. If you are required to register as a medical waste generator, then: <br /> a. complete the "Registration/Permit Application For Medical Waste" form located on <br /> Page 4 and <br /> b. complete a "Medical Waste Management Plan" following the guidelines provided on <br /> Page 5 and <br /> C. return the completed forms and appropriate fee (see "Medical Waste Program Fee <br /> Schedule" on Page 6)to the mailing address listed below. <br /> Your cooperation in promptly registering and following the specified handling requirements is greatly <br /> appreciated. <br /> If you have any questions regarding registration or handling requirements, please contact Kasey <br /> Foley (209) 468-3451. <br /> RETURN ALL COMPLETED FORMS TO: <br /> Kasey Foley, Senior REHS <br /> San Joaquin County Public Health Services <br /> Environmental Health Division <br /> 304 E. Weber Ave. <br /> Stockton, CA 95202 <br /> 1 <br />