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Phone: } <br /> g. Name,address and phone number of Offsite Treatment Facility where pharmaceutical <br /> waste is transported for treatment,if different than pharmaceutical waste hauler: <br /> Name: STERICYCLE INC <br /> Address: 90 NORTH 1100 WEST <br /> NORTH SALT LAKE CITY UT <br /> City State Zip Code <br /> Phone: 801 936-1535 <br /> h. All medical waste generators are required to keep accurate records regarding <br /> containment,storage,hauling,treatment and disposal. All medical waste records area to <br /> be maintained and available for review during inspection for three(3)years. Do you <br /> ff <br /> have tracking documents for all medical wastes handled at your facility: es❑No <br /> i. Describe training provided to staff regarding handling,storage,disposal,and record <br /> keeping of all medical waste,including pharmaceutical waste,at your facility: <br /> ANNUAL SAFETY TRAINING <br /> NEW HIRE ORIENTATION/SITE+JOB SPECIFIC TRAINING BLOODBORNE PATHOGEN <br /> TRAINING OSHA/MOCK AND SITE WALK THROUGH <br /> j. Describe your medical waste emergency action plan, including procedures for <br /> handling spills,exposures,equipment failures,etc: SPILL KITS LOCATED IN THE_CLINIC <br /> PPE PROVIDED AND ACCESSIBLE TRAINING PROVIDED BY DON DURING ORIENTATION AND ANNUAL <br /> MANDATORY SAFETY TRAINING.BLOOD BORNE PATHOGEN MANDATORY TRAINING ANNUALLY) <br /> I Hereby certify to the!best of my knowledge and belief that the statements made herein are <br /> correct and true. <br /> Signature: AMANIDC—C-P. K.W?Z <br /> Printed Name: AMANDEEP.K.BASRA <br /> Title: QUALITY IMPROVEMENT COORDINATOR <br /> Date: 8126113 <br /> EIiD 45-03 7 <br /> 10/6/2006 <br />