Laserfiche WebLink
Phone: <br /> g. Name, address and phone number of Offsite Treatment Facility where pharmaceutical <br /> waste is transported for treatment, if different than pharmaceutical waste hauler: <br /> Name: 1 <br /> Address: 60 A Vii <br /> C-'tv State Zip Code <br /> Phone: imp j�s <br /> h. All medical waste generators are required to keep accurate records regarding <br /> containment,storage,hauling,treatment and disposal. All medical waste records area to <br /> be maintained and available for review during inspection for three(3)years. Do you <br /> have tracking documents for all medical wastes handled at your facility: P6Yes❑No <br /> L Describe training provided to staff regarding handling, storage, disposal,and record <br /> kee n of all medical waste,including pharmaceutical waste,at your ility: <br /> 1( I <br /> j. Describe your medical waste emergency action plan, including procedures fo <br /> handling spills, exposures,equipment failures, etc: Wt— aLL lW <br /> c axAc- <br /> I hereby certify to the best of my knowledge and belief that the statements made herein are <br /> correct and true. <br /> Signature:-q ';L—JX4,� <br /> Printed Name: *PW <br /> Trt e: MUM —-.---- <br /> Date: �'Dj(9/�I <br /> EHD 45-03 7 <br /> 10/612006 <br />