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11/12/2010 14:19 2092394 BUSINESS OFFICE PAGE 09 <br /> Completed Tracking Form 7. Within thirty-five (35) days of the removal of medical waste from our premises, <br /> the destination facility's owner/operator must provide this facility with a completed <br /> copy of the tracking form,which includes the following: <br /> a. The method of treatment of the medical waste received from this facility; <br /> b. The location of the landfill used to deposit our medical waste;and <br /> c. The date and signature of the destination facility's owner/operator. <br /> 35-Day Limitation 8. If, after thirty-five (35) days, our facility has not received the signed and dated <br /> tracking form.the Infection Control Coordinator(or designee)will try to determine <br /> the location of the medical waste. Documentation will be maintained of such <br /> attempts and filed in the business office. <br /> Filing an Exception Report 9. if, after forty-five (45) days, a signed and dated tracking farm has not been <br /> received, the Administrator will file an Exception Report with the state and the <br /> EPA Regional Administrator the next day. <br /> Contents of]Exception 10. Exception Reports shall include at least: <br /> Report <br /> a_ A letter explaining our efforts to locate the waste and the results of such effects; <br /> and <br /> b. A legible copy of the original tracking form. <br /> Maintaining Documentation 11.. The administration shall maintain copies of all tracking formas, shipping logs, <br /> exception reports, etc., for at least three (3) years.from the date of receipt or as <br /> required by current federal,state,or Local statutes. <br /> See also OSHA's Bloodborne Pathogens Standard and Enforcement Standards at: <br /> www.osha.iaovl <br /> See also CDC's Guidelines for Environmental,infection Control in Healthcare <br /> Facilities at:www.cdc.goy/mwr/PDF/rr/1752 u idf <br /> Va. <br /> Medical Waste Policies <br /> Medical Waste Shipment and Tracking Forms(Appendix B) <br /> Date: By: <br /> Date: By- <br /> Date: By: <br /> Date: By: <br /> 0 2001 MEED-PASS,Inc.(Revised August 2009) <br />