COMPLIANCE INFO - Laserfiche WebLink

Home Browse Search

Medical WOMWmWaste Systems ICE !NFORMATION CUSTOMER NAM L TITLE: SERVICE AGREEM BILLING LOCATION INFORMATIO3 CUSTOMER NAME: I CITY: —STATE: ZIP: PHONE: CONTACT:— TITLE: SERVICE BEGINS ON: SERVICE SCHEDULE:- DAY(S) PER WEEK; EVERY CONTAINERS: QUANTITY: TYPE: 0 0 CA I RATES.. P7j SPECIAL INSTRUCTIONS: SERVICE HOURS: Date of Agreement: TERMS AND CONDITIONS By SIGNING IN THE SPACE PROVIDED BELOW, THE CUSTOMER ACKNOWLEDGES HAVING READ AND THAT ITIS BOUND BY THE TERMS AND CONDITIONS ABOVE AND BELOW ON THIS PAGE AND CONTINUING ON THE REVERSE SIDE OF THIS PAGE.-: - :1 I'll I I - "CONTRACTOR" "CUSTOMER" , f "ZI GAA ?>P-( 0 CA ( CA ��T70 U (S r"I'Alige, (NAME OF O"TIN %-GROW IIING-PE IN ESSUBSIDIARY) (CUSTOMER NAME) BY (SIGNATUREI: BY (SIG NATURE):- NAME:-- NAME:- 14,-A TITLE.-- TITLE--' 44 �1 416- 0 ±r-2 ARTICLE I DHWOSAL SERVICES CuMM SW provide to ContraVor and Contractor shall colled and romm from CustwWs promises, treat and/or dispose of all"Ifilimedfical Waste- generated by Customer in accordance with to lames of On Agreement. The term "Biomedical Waste", ask harem, shall include only those wastes (f) defined by the United States Environmental Protection Agency (USEPA) as Infectious wastes in its Guide for Inhich0wil Waste Management. #EPAJW"W,0WM, May IM Anel any other wastes Identified as mWexis of similar wom in am other apiptic" ted". stase, cot" or namicipsi Was, regulations ars gueldwees. and (a) Vlonvotherropy Waste- (at" known n antrooplastic or cytotoxic waste). The term "Mmoftmpy Waste", as used heselo. mom discarded I*= which hahis been centsmilrated by chisentitheirapawfic drugs or antmeoplastle agenM provided that such Usms, Jecluffing vials and syringes, sada emply or contain only such trace amounts of charnotherateartic drugs as are allowable wider applicable toderall, state. courity or municipal laws. regulationts and quideflimes so as to be consideveli waste. The am Biomedical wasse spec"ically excludes corrosive, ructhe. rad' .mac (except toxic material or waste listed as an antmeophisfic agerd in Section 10.01) of the American Hospital Formularysiew putilishad by ft American Socially of Hospital Pharmacists). wid other hairinknes wastes and substances as deft ed in any applicidift federal, state. coundtf or neunadpof laws. regulations and guidelines. Customer is so" resperoutte for property and lawfully packaging OW slaring Biomedical Waste. Customer 00 store Biomedical Waste In containers supplied or approved by Contractor. The storage of Slamalical shall be confined to on an on s to which an"I'su"I"re'"w" Contractor reserves the right to decline to accept for collection. Vmsp*rUtm. treatment and/or it"" any Biomedical Waste which, in Can 's judgmerilL it cannot transport treat or del" of in a Warfel manner or without a risk of harm to putillic health or it* savinumaxed. haterop" packaged. Making. -WWftM Or ftMWW -nMM are -blO 10 rejection Or 10 0#-3PMCftSON design ftir repackaging and/or _ No containers will be picked up 20 are wall or bidding. TZ,0-1W ur, % mv ip WqWv T!TL1 This to Items" Waste collected from Distow sheig be transferred % ad vaid III r"k 411;44iiii- 41tes 6ifti6ii "i is IUN Waded NO Contractler's truck. Prior ftrft aff Mb to ft Biomedical Waste 00 be in Distester. Title to ww waft W than B*no" Wug 00 remain with Moistener. in" V"-- i;A t -offt" :1 M a r, sm, V rT#? 100 010,41" VW4 irm to" �i� wl�,4 m w"M% =0 '-ate, v*,*.wG0 a 4-MNO %V%A ft4,VW ARTICLE Iff-SERVICES AND RATES Contractor will PvAde Ow coulectiort, warelporiedim, Inediftest sexhior illsonsal servion leass, M'A" see-koes an *06AW seass, saw—his. sew neerat dewses, hessesuiv mnsah; ediwdt� a" feer am Conlincitior will provide all astalsery equipment to perform such savirm and Or" owomw* " coluselti wish all applicaliells lindiesil, aim soustf. -9 municipal hows, vallubooft gindallievasseed pwmjjk�_