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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: L V I If sOc- <br /> Address: Ce 1.2 e- <br /> 'y C.- 9,5- <br /> City State Zip Code <br /> Phone: ( -7 9' ~�q(Z 7i <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: S f ` C-yr to Ar C, <br /> Address: sgr7�.hrsyUOr <br /> City �S+�e Zip Code <br /> Phone: ) 7 <br /> h. Do you handle pharmaceutical waste 1hat is classified by the federal Drug Enforcement Agency <br /> (DEA)as"controlled substances"? M Yes ❑No <br /> Iff yes, describe how the"controlled substances"are disposed: P Lw c�C 1`5-f <br /> +Jirec,`�orA r0yr, S � i� �1`u/ w1��t.�7eCeL�S �YX;Q fit/ V nlaC�- <br /> ,'v` i vi.c i e v ®✓°' sro r '`C-o,A--6-a( -s <br /> JiA- c sfa�c es'® <br /> l5 bLCC(1k�t i5 Q1ar fI& OfC, k o-w- (f-.(0t fJrC./ <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 tw (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, incluam pharmaceutical waste, at your facility: <br /> e c a 5 fc D �I-)` <br /> �-vt- s �-✓'y`c-e.s �� u..(,C.. Sf� �'' r.�. �r�� Fy � r` - <br /> �� t,�eei cc-s yie <br /> 1 <br /> k. Describe your medical waste emergency action plan,including procedures for handling spills, <br /> exposures,equipment failures, etc. (attach information asnecessary): <br /> ooQ s /1 f( I i4s- er, c r®ieck! 0dl <br /> EHD 45-03 7 <br /> 2015 <br />