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11/12/2010 14:19 20923944 BUSINESS OFFICE PAGE 08 <br /> Medical Waste Tracidng <br /> Highlights Policy Statement <br /> A medical waste tracking form (or manifest) will be used to maintain a record (log) of <br /> infectious waste generated by and transported from this facility. <br /> Policy Interpretation and Implementation <br /> Generating More Than 50 1. Should our facility generate more than fi.Ry(50)pounds of regulated medical waste <br /> lbs.Monthly monthly, we will prepare and maintain approved medical waste tracking forms of <br /> all waste transported from our premises. <br /> Generating Less Than 50 2. Should our facility generate less than fifty(50)pounds a month of regulated waste, <br /> lbs.Monthly we will prepare and maintain a shipment log of all waste transported from our <br /> premises. <br /> Medical Waste Treated/ 3. Medical waste that is treated and destroyed, disposed of on site, or flushed down <br /> Disposed of On-site sewers is not counted as part of the fifty(50)pound per month limit. <br /> Storing Medical Waste 4. All medical waste generated by this facility, including waste treated, destroyed, <br /> and disposed of on site, trust be stored in accordance with policies established in <br /> this chapter. <br /> Contents of Tracking Form 5. Our tracking form(manifest)will contain at least: <br /> a. The date of the pickup or shipment; <br /> b. The weight of the shipment; <br /> e. The type of medical, waste shipped (e.g., cultures and stocks of infectious <br /> agents/biologicals. pathological waste, human blood, blood products, <br /> contaminated sharps,etc.); <br /> d. Whether or not shipment contains treated or untreated medical,waste; <br /> e. Any special handling instructions; <br /> f. Appropriate permit or identification numbers (e.g., state penmit/iD number; <br /> EPA medical waste TD number,etc.); <br /> g. Name and address of facility; <br /> h. Name,address,telephone number,and permit/ID numbers of waste hauler,and <br /> i. Signatures of facility representative, waste hauler, and employee accepting <br /> containers for shipment. <br /> Contents of Shipping Log 6. If a shipment log is maintained,it shall include at least: <br /> a. The name,address,and telephone number of the transporter; <br /> b. The transporter's state permit or TD number; <br /> c. The quantity and category of waste transported(e.g.,treated or untreated); <br /> d. The number of containers transported; <br /> e. The weight of the shipment; <br /> £ The date of shipment;and <br /> g. The signature of the person accepting the waste for transport. <br /> conomp-T on next page <br /> 0 2001 MED-.PASS.inc.(Revised Augint 2009) <br />