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0 0 <br />F—AiNVIRONMENTAL HEALTH DEPARTMENJ- <br />SAN <br />JOAQUIN COUNTY <br />1868 E. Hazelton Avenue <br />Stockton, California 95205 <br />Telephone: (209) 468-3420 <br />Fax: (209) 468-8392 <br />GUIDELINES FOR THE MEDICAL WASTE MANAGEMENT PLAN <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: <br />Business Name: Lodi Health <br />Business Address: 975 South Fairmount Ave. <br />Lndi CA 95240 <br />City State Zip Code <br />Phone Number: ( 209 ) 334-3411 <br />Type of Facility or Business: _ Acute Care Hospital <br />REGISTRATION FOR: <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 Plan: <br />Name: Stephen Barker _ Title: Safety and Security Manager <br />Phone:_209-339-7668 Date: - 1/26/2016 <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 />Re(i/Bio hazardous waste, Sharps, Trace Chemo, Ph r� macy waste, <br />a) Do you generate aM pharmaceutical waste (expired, spent, partials, patient returns)? ❑X Yes N No <br />If yes, describe the type of pharmaceutical waste (expired, spent, partials, patient returns): <br />Expired. Partiais, Pati -nt Returns, <br />And estimate the monthly amount of pharmaceutical waste generated at your facility: 11501bs <br />EHD 45-03 5 <br />2015 <br />