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TO: Distribution <br />FROM: Gayle Moses <br />Facilities Management <br />DATE: December 6, 2008 <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 />Cook <br />Rebecca <br />Clinics <br />Crawford <br />Debra <br />Clinics <br />Hernandez <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 />Matthews <br />Diana <br />QMS <br />Mack <br />Dave <br />Laboratory <br />Charles <br />Van Steyn <br />Laboratory <br />Flanagan <br />Trish <br />Laboratory <br />Armstrong <br />Elaine <br />Laboratory <br />Breitmaier <br />Kelly <br />Laboratory <br />Kehoe <br />Alice <br />Laboratory <br />Petrone <br />Melanie <br />Laboratory <br />Pocoroba <br />Linda <br />Laboratory <br />Provencio <br />Joanne <br />Laboratory <br />Saito <br />Linda <br />Laboratory <br />Wells <br />Max <br />Laboratory <br />Quinones <br />Wendy <br />1Laborato <br />File: San Joaquin County Public Health <br />Memo, Limited Waste, 120608 <br />Last <br />First <br />Department <br />Weber <br />Stephanie <br />Laboratory <br />Paoletti <br />Sharon <br />Home Health <br />Schulz <br />Donna <br />Education <br />Rile Wei el <br />Lori <br />Education <br />Jenkins <br />Mary Lou <br />Education <br />DeChance <br />Cindy <br />Education <br />Orte on <br />Donna <br />Emp. Health <br />Moses <br />Gayle <br />Safety Off. <br />Matthews <br />Diana <br />QMS <br />Beal <br />Sch erel <br />Infect. Cont. <br />Long -Brandt <br />Wendy <br />Infect. Cont. <br />Carlson <br />Parish Nurse <br />Bird <br />Sand <br />Home Health <br />Barba <br />Patti <br />Home Health <br />Braubitz <br />Linda <br />Home Health <br />Edgar <br />Charlene <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 />Miller <br />I Michelle <br />Home Health <br />Last <br />First <br />Department <br />M ers . <br />Cathleen <br />Home Health <br />Paoletti <br />Sharon <br />Home Health <br />Quint <br />Joann <br />Home Health <br />Robinson <br />Thelma <br />Home Health <br />Stormes <br />Terry <br />Home Health <br />Wolfe <br />Linda <br />Home Health <br />Airola <br />Pharmacy <br />Atwater <br />__gag <br />Sandy <br />Pharmacy <br />Thalken <br />Mark <br />Pharmacy <br />Yu <br />Pharmacy <br />Carlson <br />Parish Nurse <br />Ketcherside <br />RN <br />Parish Nurse <br />Kinman <br />Parish Nurse <br />Maki <br />Parish Nurse <br />Muscha <br />Lesley <br />Parish Nurse <br />Person <br />Donnette <br />Parish Nurse <br />Rem her <br />Colleen <br />Parish Nurse <br />Riddle <br />Naomi <br />Parish Nurse <br />Schmidt <br />Laverne <br />Parish Nurse <br />Stoakes <br />Barbara <br />Parish Nurse <br />N:\FacMgt_ADMIN\EOC\HazMatMgt\Limited Quanity Hauling\2008 Limited Quantity Hauling Exemption Documents.doc <br />