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SAN10 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 <br /> Medical Waste Management plan on file with the San Joaquin County Environmental Health <br /> Department, The Medical Waste Management Plan shall contain the following information as <br /> appropriate for your facility; <br /> Business Name: stk�Pr LU ►1 t �} iia p X�C�C>; (pl C )Urc���iCl <br /> Business Address: c��Vf, <br /> City State Zip Code <br /> Phone Number: <br /> Contact Person: , <br /> Type of Facility or Business: <br /> Registration for: <br /> ❑ Small Quantity Generator with Onsite Treatment (Generates less than 200 lbs/month). <br /> 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: �� � �1 ,� Title; &, 'C, <br /> Phone � ` Date: <br /> 1. List the types of medical waste generated at your facility (i.e. laboratory wastes, blood or body <br /> Aii <br /> , contaminated animals, surgical speci ns, trace chemo or isolation wastes): <br /> Do you generate any pharmaceutical waste (expired, spent, partials, patient returns)? Yes ❑ No <br /> 6of11 <br />