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0 0 <br /> f. Name, address and phone number of offsite treatment facility, where biohazardous (excluding <br /> pharmaceutical waste)and sharps waste is transported for treatment, if different than the <br /> hauler: <br /> Name: <br /> Address: <br /> pity State Zip Code <br /> Phone- <br /> g. Name,address and phone number of offsite treatment facility where pharmaceutical waste is <br /> transported for treatment, if different than the pharmaceutical waste hauler: <br /> Name: <br /> Address: <br /> City r State Zip Code <br /> Phone: <br /> h. Do you handle pharmaceutical wa§,te Oat is classified by the federal Drug Enforcement Agency <br /> (DEA)as"controlled substances"? Yes E]No <br /> ,1yes, de,,ribe how the"controlled substances"are disposed: Uld JVOIMW& a1v <br /> ?4 E kj in -ft Prtfim-i of �.I 61 <br /> rhatweTT .4 a,, rmin-erm-ror(el <br /> inov AM NO' A rP U 0 ' bV VIA P01110-1- <br /> tWIWA 4r mfs- r m4A Art", P1424 ?rlhj i V,f 1-1 <br /> LI UM <br /> i. All medical waste generators are required to keep accurate records regarding containment, <br /> storage, hauling, treatment and disposal. All medical waste records are to be maintained and <br /> available for review during inspection for two(2)years. Do you have tracking documents for all <br /> medical wastes handled at your facility?: Yes ❑No <br /> j. Describe training provided to staff regarding handling, storage, disposal,and record keeping of <br /> all medical waste, including harmaceutical waste, at your facility:CNs Art/X41-f(-MaA <br /> VMCAU-IN 06VAII r vol � SIS O)lfl– 01� IMSA � Mo VfK;o,v aYA <br /> T,IC06+V Mt F/tf-�,0 tWI4-1 fi-A,r M,rk V[r,M IA W 4 RAIII V PbM <br /> arta <br /> LIA&,X h V qj- 1,(,4U- ('S <br /> k. Describe your medical waste emergency action plan, including procedures for handling spills, <br /> exposures. equipment failures,etc. (attach information as necessary): r Cfiea 4 VoWN <br /> JAJACW AR, CIMMI � AS14te-M LD'Al-tw/ anoylb*/ I C�flz*Qyl 1,al to al a S-P t Ifyi, <br /> Ar prjj.w,k with, WO bi AeK folei/YOW thIeWoUl Melkna t- A fait(, -0011f, P141 <br /> V d- A t le-Ut, &--,qnMmi'OakA oil o, rMalii ki'd- e f <br /> I(DR vVel F aU ft Li* A A i kA LAM,111 -ti&L,r,ho PM&U f CUA L4 it <br /> pq tM Ploywan(M)t VyW, Aw- tM will Lt admi'alfiti-rd 'kinuAdIM, I et <br /> F <br /> to I i 03 111)45- 7 <br /> bMA <br />