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L] <br />Ll <br />GUIDELINES FOR THE MEDICAL WASTE MANAGEMENT <br />PLAN <br />:fir '. (.,., <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 />B L,w CAW fi9kM j C <br />Business Address: F � CAP 6010,06 <br />GTbCK4V#Nj cA 945 ?-04- <br />City State Zip Code <br />Phone Number: (SO9 ) 943- 0054— <br />Type <br />Type of Facility or Business: ENP STAGE <br />❑ Small Quantity Generator with Onsite Treatment (Generates less than 2001bs/month). <br />CA 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: Title: C'_6-tJTF-P-_ PIPCECTZP, <br />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 - <br />a) D you generate M pharmaceutical waste (expired/outdated, spent, partials,)? <br />b) Yes ❑ No <br />If yes, describe the type of pharmaceutical waste (expired, spent, partials, outdated, patient <br />returns, etc): <br />i SPE -NI - <br />A102 PA -P -TA -05 <br />And estimate the monthly amount of pharmaceutical waste generated at your <br />facility:_ . <br />EHD 45-03 <br />10/6/2006 <br />