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GUIDEUNES FOR THE MEDICALL PLI <br />(Pleaseypeor Print' <br />Small quantity generators that provide • treatment r all large quantity generators <br />medicalshall have a - management plan on • <br />medical,•- plan shall contain the following information, <br />appropriateas « <br />Business Name: <br />Business Phone: ( - <br />Type Of Facility Or Business: <br />Registered As. (Check One) <br />() <br />Small Quantity Generator With OnsiteTreatment. (Generates < 200 lbs./mo.) <br />() Large Quantity Generator. (Generates lbs. or more/o.) <br />() Large Quantity Generator With Onsite Treatment. (Generates 200 lbs. or more/mo.) <br />Person Responsible For implementation Plan: <br />Name: <br />M <br />generated1 List the types of medical waste at your facility, i.e., Laboratory Wastes, <br />Blood or Body Fluids,Sharps,. .. ri Animals, Surgical Specimens,,, <br />Isolation"Regulated Medicalon ' <br />Estimate2. the I mo nthly amount of medicalat . <br />handling3. Descri'be'the medical waste procedures • -r by and applicable tt your <br />a. Onsite location land method for segregation, containment, packaging, <br />labelling, and collection. <br />• I M- ON <br />