Laserfiche WebLink
A N <br /> f. Name, address and phone number of Offsite Treatment Facility where bioazardous <br /> (excluding pharmaceutical waste)and sharps waste is transported for treatment, if <br /> different than hauler: <br /> Name: SAME AS ABOVE <br /> Address: <br /> City State Zip Code <br /> 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 1100West <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 containment, <br /> storage, hauling,treatment and disposal. All medical waste records area to be maintained <br /> and available for review during inspection for three(3)years. Do you have tracking <br /> documents for all medical wastes handled at your facility: Yes X 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 Training <br /> Bloodborne Pathogens <br /> OSHA/Mock and site walk trough's <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 provided <br /> during orientation and Blood borne 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 /> r <br /> Printed Name: _Rebecca Knodt <br /> Title: _Clinic Manager <br /> Date: February 10, 2020 <br /> EHD 45-03 8 10/6/2006 <br />