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Oct, 9, 2015 10: 03AM No. 6392 P. 1 <br /> ENVIRONMENTAL HE ' T <br /> SAN JOAQUIN COUNTY <br /> 1868 F.Hazelton Avenue <br /> Stockton, California 95205 <br /> Telephone: (209)468-3420 <br /> Fax: (209)468.8392 <br /> GUIDELINES FOR. THE MEDICAL WASTE MANAGEMENT PIAN <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 Department. <br /> The Medical Waste Management Plan shall contain the following information as appropriate for your <br /> facility: � r <br /> ,Business Name: ,OYYI YY1t,��rte� i C� 5— n ne" <br /> Business Address; ��t ' ' '��'- l Isf— " <br /> -15+0c-k-- 6y\- CA 9 5 <br /> Croy State Zip Code <br /> Phone Number: ( 2-D A q H " L4 0 <br /> Type of Facility or Business: 1AC, �Mrn nn L&r1%- C I!r-1 ; C_ <br /> REGISTRATION EOR:" <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 flan: <br /> Yeo �('y Gt.. GSC' �,, <br /> Name: (�.y Title: '^-� � <br /> Phontczgli-) q UrLk-- lA—i %?7> Date: t 1 I 1 <br /> 1. List the types of medical waste generated at your facility(i,e. laboratory wastes, blood or body <br /> fluids, shaxps,con aminated animals, urgical specimens,grace chemo or isolation wastes): <br /> -- t Q r <br /> r <br /> a)Do you generate=pharmaceutical waste(expired, spent,partials,patient returns)? Yes ❑No <br /> If yes, describe the type of phax:maceutical 1vasto(expired Ppent,partials,patient returns): <br /> And estimate the monthly amount of pharmaceutical waste generated at your facility: �" 1 <br /> Received Time Oct, 9. 2015 10: 07AM No- 1383 5 <br /> 2015 <br />