Laserfiche WebLink
• <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY <br /> 1868 E. Hazelton Avenue <br /> Stockton, California 95205 <br /> Telephone: (209) 468-3420 <br /> Fax: (209) 468-8392 <br /> GUIDELINES FOR THE MEDICAL WASTE MANAGEMENT PLAN <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 Name: \r1 r s-* <br /> Business Address: _�- e \rN St. <br /> City State Zip Code <br /> Phone Number: ( 9) 1 -k- <br /> Type of Facility or Business: r ; % urs®r-,C., <br /> REGISTRATION FOR: <br /> ❑ Small Quantity Generator with Onsite Treatment(Generates less than 2001bs/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: - S Title: +- <br /> Phone: L4(e, _ 341 # Date: q j a2 1 1 <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 /> e lam` S Qr1C� ® 6[�®GL C3� <br /> a) Do you generate any pharmaceutical waste (expired, spent, partials, patient retums)?g Yes ❑ No <br /> If yes, describe the type of pharmaceutical waste (expired, spent, partials, patient returns): <br /> E'cr'i cs� � -t *%-.r Q <br /> And estimate the monthly amount of pharmaceutical waste generated at your facility: k \IcLs <br /> EHD 45-03 5 <br /> 2015 <br />