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! a <br /> b. The transporter's state permit or ID number; <br /> c. The quantity and category of waste transported(e.g.,treated or untreated); <br /> d. The number of containers transported; <br /> e. The weight of the shipment; <br /> f. The date of shipment;and <br /> g. The signature of the person accepting the waste for transport. <br /> Completed Tracking Form 6. Within thirty-five(35)days of the removal of medical waste from our <br /> premises,the destination facility's owner/operator must provide this facility <br /> with a completed copy of the tracking form,which includes the following: <br /> a. The method of treatment of the medical waste received from this facility; <br /> b. The location of the landfill used to deposit our medical waste;and <br /> c. The date and signature of the destination facility's owner/operator. <br /> 35-Day Limitation 7. If,after thirty-five(35)days,our facility has not received the signed and dated <br /> tracking form,the Infection Preventionist(or designee)will try to determine the <br /> location of the medical waste.Documentation will be maintained of such attempts <br /> and filed in the business office. <br /> Filing an Exception Report 8. If, after forty-five (45) days, a signed and dated tracking form has not been <br /> received,the Administrator will file an Exception Report with the state and the EPA <br /> Regional Administrator the next day. <br /> Contents of Exception 9. Exception Reports shall include at least: <br /> Report <br /> a. A letter explaining our efforts to locate the waste and the results of such <br /> effects;and <br /> b. A legible copy of the original tracking form. <br /> Maintaining Documentation 10. The administration shall maintain copies of all tracking forms,shipping logs, <br /> exception reports,etc.,for at least three(3)years from the date of receipt or as <br /> required by current federal,state,or local statutes. <br /> facility1V 0 <br /> ilu,ote: All cl w aste tc <br /> and shipping "olicies, procedures and <br /> documentation forms are written as <br /> general es. Follow State-specific <br /> requirements if a discrepancyexists <br /> between these 1 ell eS and State <br /> requirements. <br /> Infection Control Policy and Procedure Manual <br /> U 2001 MED-PASS,Inc.(Revised August 2012) <br /> Version#: 1 Page 2 of 3 <br />