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SAN,z-JOAQUIN Environmental Health Department <br /> COUNTY <br /> GUIDELINES FOR THE MEDICAL WASTE MANAGEMENT FLAN <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 <br /> Department. The Medical Waste Management Plan shall contain the following information as <br /> appropriate for your facility: <br /> Business Name: 72 r L NL LA—k <br /> Business Address: ; Z L1 ,� <br /> r�eVI C'P\ ? d ' <br /> City State Zip Code <br /> Phone Number: ( 20cl --�z6(,(-& <br /> Contact Person: L <br /> I <br /> Type of Facility or Business:_ k` I i <br /> Registration for: <br /> ❑ Small Quantity Generator with Onsite Treatment (Generates less than 200 lbs/month). <br /> 0 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: it-"E" -C4 I— CV,4, _ r <br /> ---Title: 'tA/1Gt/' <br /> Phone:) —2 Date: �-z <br /> I t'2, o <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 /> k-G�^ La LIQ ,V 16 4)L, S <br /> Do you generate any pharmaceutical waste (expired, spent, partials, patient returns)? Yes ❑ No <br /> 6of11 <br />