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SANJ O A Q U I N Environmental Health Department <br /> COUNTY <br /> GUIDELINES FOR THE MEDICAL WASTE MANAGEMENT PLAN <br /> Small quantity generators that provide onsite treatment and all large quantity generators shall have a Medical Waste <br /> Management plan on file with the San Joaquin County Environmental Health Department. The Medical Waste <br /> Management Plan shall contain the following information as appropriate for your facility: <br /> Business Name: DaVita Grant Line Dialysis <br /> Business Address: 2955 N. Corral Hollow Road, Suite 101 <br /> Tracy CA 95376 <br /> City State Zip Code <br /> Phone Number: (209 )839-8302 <br /> Contact Person: Courtney Vela Phone Number(if different from above): ( ) <br /> Type of Facility or Business: Outpatient Dialysis Center <br /> Registration for: <br /> ❑ Small Quantity Generator with Onsite Treatment(Generates less than 200 lbs/month). <br /> ❑x 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: Courtney Vela Title: Facility Administrator <br /> Phone: 209-839-8302 Date: 2/2/2021 <br /> 1. List the types of medical waste generated at your facility(i.e. laboratory wastes, blood or body fluids, sharps, <br /> contaminated animals, surgical specimens, trace chemo or isolation wastes): <br /> blood or body fluids, sharps, and isolation waste <br /> Do you generate any pharmaceutical waste (expired, spent, partials, patient returns)? ® Yes ❑ No <br /> If yes, describe the type of pharmaceutical waste (expired, spent, partials, patient returns): <br /> expired and partials <br /> And estimate the monthly amount of pharmaceutical waste generated at your facility: 30 lbs <br /> 2. Estimate the monthly amount of medical waste (excluding waste pharmaceuticals) generated at your facility: 2800 lbs <br /> 3. Describe the medical waste handling procedures utilized by and applicable to your facility, including, but not limited <br /> to the following: <br /> a. Onsite location and method for segregation, containment, packaging, labeling and collection, including <br /> pharmaceutical waste: <br /> stored in biohazard room and sent offsite via stericycle for inceneration. <br /> 5 of 8 <br />