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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 ) 936-1555 <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 /> have tracking documents for all medical wastes handled at your facility: M Yes❑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 /> -New Hire Orientation <br /> -Job Site Specific Trainin <br /> - Bloodborne Patho_ ens <br /> -OSHA/Mock and site walk throw h <br /> j. Describe your medical waste emergency action plan, including procedures for <br /> handling spills, exposures, equipment failures, etc: <br /> Spill kits located in the clinic, PPE's provided and accessible, training <br /> provided during orientation and Bloodborne training <br /> I hereby certify to the best of my knowledge and belief that the statements made herein are <br /> correct and true. <br /> Signature: <br /> Printed Name: Rebecca Knodt <br /> Title: Clinic Manager <br /> Date:_ May 1, 2019 <br /> EHD 45-13 7 <br /> 10/6/2006 <br />