Laserfiche WebLink
r , •` • • •• 1' ` <br />' ` • • • r r • • r • • • " • <br />(X) Laboratory Wastes - specimen or microbiologic cultures, stocks of infectious agents, <br />live •' attenuated vaccines, and culture mediums <br />()0 Blood or Body Fluids - liquid blood elements or other regulated body fluids, or <br />articles contaminated with blood or body fluids <br />(30 Sharps - syri-• blades, broken <br />Contaminated Animals - animal carcasses,body parts,bedding <br />autopsySurgical Specimens - human or animal parts or tissues removed surgically or by <br />Isolation :. - waste contaniinated with excretion,•. or • from <br />humans or • are isolated due only • the highly communicablediseases <br />listed by Centers for Disease Control as requiring Biosafety Level 4 precautions.* <br />Does • business or of <br />medicalthe -•above? <br />your ••completer .•• r • • g5 and return it with this questionnaire to the address indicated. You do notneed to complete the remainder of this questionnaire. <br />If • answer is p please • of • above that <br />you or your facility generate. Please complete the rest of this questionnaire. <br />2. Do you generate less than 200 pounds of medical <br />waste per month? If yes, you are a small <br />generator. yes no X <br />3. Small generators may store their medical waste <br />in a pern-dtted common storage facility with <br />other small generators. Do you plan to do this <br />at your facility? es—no)L <br />If your answer is 3M a PHS-EHD "Common storage Facility Permit <br />Application!' be mailed to you. Please indicateyou want the <br />application mail• <br />-CONTINUEDON <br />REVERSE - <br />KI <br />