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GUIDELINES FOR THE MEDICAL WASTE MANAGEMENT <br /> PLAN <br /> Small quantity generators that provide Onsite Treatment and all large quantity generators <br /> shall have a Medical Waste Management plan on file with the San Joaquin County <br /> Environmental Health Department. The Medical Waste Management Plan shall contain the <br /> following information as appropriate for your facility: <br /> Business Name: <br /> Business Address: <br /> City State Zip Code <br /> Phone Number: <br /> Type of Facility or Business: <br /> REGISTRATION FOR: <br /> ❑ Small Quantity Generator with Onsite Treatment(Generates less than 200lbs/month). <br /> Large Quantity Generator Only(Generates 200 lbs or more/month). <br /> ❑ 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: Seri f PeA-.,- Title: 14%I&I"g A+ <br /> Phone: 204- 2tly- (o55et Date: w 131113 <br /> 1. 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 /> OWDbO 00, ftPU-b f-W I S , SHARPS i 1Sat�^Tto,-4 wi*4re.. <br /> a) Do u generate Mpharmaceutical waste(expired/outdated,spent,partials,)? <br /> b) Do <br /> ❑No <br /> If yes, describe the type of pharmaceutical waste(expired, spent,partials,outdated,patient <br /> returns,etc): <br /> S-X P11LEft , EQ + TI V1^1S <br /> And estimate the monthly amount of pharmaceutical waste generated at your <br /> facility: 5 9-6% <br /> EHD 45-03 5 <br /> 10/6/2006 <br />