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E <br />GR <br />Fax: (209) 468-8392 <br />GUMELMS FOR THE MIEDICAL WASTE MANAGEM[ENT pLA.11, <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 Department. <br />The Medical Waste Management Plan shall contain the following information as appropriate for your <br />facility: <br />Business Address: ASY9 E <br />go <br />I �- <br />Type of Facility or Business: Ft <br />RF,GIST RA'PION FOR: <br />State <br />F—I Small Quantity Generatorwith onsite Treatment (Generates less than 200 lbs/month). <br />r-31-1 <br />).6 Large Quantity Generator Only (Generates 200 lbs or more/month). <br />El 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: Title: ilgf 0 r-.1 F <br />Phone: 20 9A7 <br />IZ <br />I . 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 />And estimate the monthly amount of pharmaceutical waste generated at your facility.. 1'4t7 16 <br />EM 45-03 <br />2015 5 <br />