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• MEMORANDUM • <br />TO: Distribution <br />FROM: Gayle Moses <br />Facilities Management <br />DATE: December 6, 2007 <br />SUBJECT: Limited Quantity Hauling Exemption Documents <br />Attached is your copy of the current year Limited Quantity Hauling Exemption Documents issued by San <br />Joaquin Public Health Services and the approved list of employees granted exemption. <br />While transporting medical waste, you must have in your possession these documents identifying you as <br />an authorized transporter as listed on the second page. In addition to this information, you must also have <br />a Medical Waste Tracking Document form specifying the type of medical waste and its destination. Each <br />authorized transporter must complete the tracking document forms including signature, prior to transport. <br />It is required that Lodi Memorial Hospital maintain these documents for a period not less than three years <br />and make them available to the inspectors upon request. It is you responsibility to complete the necessary <br />documentation and have it with the waste being transported at all times prior to final processing of the <br />waste. All completed forms must be forwarded to me for inspector review. <br />Please make copies of blank forms for your future use as needed. If you have questions or concerns, <br />please call me at 339-7668. <br />Thank you, <br />Gayle Moses <br />Safety/Security Officer <br />Distribution: <br />Last <br />First <br />Department <br />Bara as <br />Toni <br />Clinics <br />Somera <br />Shannon <br />Clinics <br />Crawford <br />Debra <br />Clinics <br />Hemandez <br />Catherine <br />Clinics <br />Lear <br />Claire <br />Clinics <br />Nordell <br />Lisa <br />Clinics <br />Schneider <br />Pamela <br />Clinics <br />Swartz <br />Kathy <br />Clinics <br />Wood <br />Tami <br />Clinics <br />Mack <br />Dave <br />Laboratory <br />Charles <br />Van Steyn <br />Laboratory <br />Flanagan <br />Trish <br />Laboratory <br />Mendoza <br />Tina <br />Laborat <br />oorrrrrrryyyyyyy <br />Petrone <br />Melanie <br />Laborat <br />Poeoroba <br />Linda <br />Laborato <br />Provencio <br />Joanne <br />Laborato <br />Wells <br />Max <br />Laborato <br />Breitmaier <br />Kell <br />Laborat <br />Saito <br />Linda <br />Laborat <br />Noel <br />Moreno <br />Laborat <br />Quinones <br />Wend <br />Laborat <br />Luebberke <br />Monica <br />Home Health <br />File: San Joaquin County Public Health <br />Memo, Limited Waste, 120607 <br />Last <br />First <br />Department <br />Scott <br />Laura <br />Laboratory <br />Weber <br />Stephanie <br />Laboratory <br />Schulz <br />Donna <br />Education <br />Newby <br />Teresa <br />Education <br />Jenkins <br />Mary Lou <br />Education <br />Orte on <br />Donna <br />Emp. Health <br />Matthews <br />Diana <br />QMS <br />Beal <br />Sch erel <br />Infect Cont. <br />Moses <br />Gayle <br />Safety Off. <br />Wolfe <br />Linda <br />Home Health <br />Bird <br />Sandy <br />Home Health <br />Barba <br />Patti <br />Home Health <br />Braubitz <br />Linda <br />Home Health <br />Camacho <br />Edna <br />Home Health <br />Ed ar <br />Charlene <br />Home Health <br />Elliott <br />Jackie <br />Home Health <br />Flossmann <br />Mary <br />I Home Health <br />Holman <br />Jennifer <br />Home Health <br />Huckaby <br />Cathleen <br />Home Health <br />Hunter <br />Kim <br />Home Health <br />Joranco <br />Karen <br />Home Health <br />Luebberke <br />Monica <br />Home Health <br />Last <br />First <br />De artment <br />McDonald <br />Sandra <br />Home Health <br />Miller <br />Michelle <br />Home Health <br />Moeh <br />Merley <br />Home Health <br />Paoletti <br />Sharon <br />Home Health <br />Quint <br />Joann <br />Home Health <br />Quint <br />David <br />Home Health <br />Radotic <br />Rose Mary <br />Home Health <br />Starr <br />Kathleen <br />Home Health <br />Storms <br />Terry <br />Home Health <br />Wolfe <br />Linda <br />Home Health <br />Atwater <br />Sandy <br />Pharmac <br />Yu <br />Terry <br />Pharmacy <br />Lopez <br />Dennis <br />Home Infusion <br />Salim <br />Mohammad <br />Home hifusion <br />Rem her <br />Colleen <br />Parish Nurse <br />Geor eson <br />Deb <br />Parish Nurse <br />Kinman <br />Nancy <br />Parish Nurse <br />Riddle <br />Naomi <br />Parish Nurse <br />Schmidt <br />LaVeme <br />Parish Nurse <br />N:\FacMgt_ADMPAEOC\HazMatMgt\Urnited Quanity Hauhng\2007 Limited Quantity Hauling Exemption Doeuments.doe <br />