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GUIDELINES FOR THE MEDICAL WASTE MANAGEMENT <br /> PLAN <br /> Small quantity generators that provide Onsite Treatment and all large quantity generators <br /> shall have a Medical Waste Management plan on file with the San Joaquin County <br /> Environmental Health Department. The Medical Waste Management Plan shall contain the <br /> following information as appropriate for your facility: <br /> Business Name: Community Medical Centers, INC <br /> Business Address: 701 E. Channel Street <br /> Stockton CA 95202 <br /> City State Zip Code <br /> Phone Number: ( 209 944-4700 <br /> Type of Facility or Business: FQHC Community Clinic <br /> REGISTRATION FOR: <br /> ❑ Small Quantity Generator with Onsite Treatment(Generates less than 2001bs/month). <br /> R] 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: Minerva Garcia Title: Clinic Manager <br /> Phone: 209-944-4713 Date: 05/06/2014 <br /> 1. List the types of medical waste generated at your facility,i.e.,laboratory wastes,blood or body <br /> fluids,sharps,contaminated animals,surgical specimens,trace chemo or isolation wastes": <br /> -laboratory waste <br /> - blood or body fluids <br /> - sharps <br /> - pharmaceutical waste <br /> a) Do you generate aM pharmaceutical waste(expired/outdated,spent,partials,)? <br /> b) W Yes ❑No <br /> If yes,describe the type of pharmaceutical waste(expired,spent,partials, outdated,patient <br /> returns, etc): <br /> expired, outdated <br /> And estimate the monthly amount of pharmaceutical waste generated at your <br /> facility:less than 5 lbs <br /> EHD 45-03 5 <br /> 10,16/2006 <br /> L <br />