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GUIDELINES FOR THE MEDICAL WASTE MANAGEMENT PLAN <br /> oG 7 ��� � (Please Type or Print) <br /> ° may generators that provide onsite treatment and all large quantity generators <br /> his an ave a medical waste management plan on file with the local enforcement agency <br /> (PHS-EHD). The medical waste management plan shall contain the following information, <br /> as appropriate for your facility: <br /> Business Name: SAN JOAQUIN ARTIFICIAL KIDNEY CENTER, INC._ <br /> Business Address: 415 E. HAR D I NG WAY, SUITE F <br /> Business Phone: ( 209 ) 465-7655 <br /> Type Of Facility Or Business: HEMODIALYSIS CENTER <br /> Registered As: (Check One) <br /> ( ) Small Quantity Generator With Onsite Treatment. (Generates < 200 lbs./mo.) <br /> ()j Large Quantity Generator. (Generates 200 lbs. or more/mo.) <br /> O Large Quantity Generator With Onsite Treatment. (Generates 200 lbs. or more/mo.) <br /> Person Responsible For Implementation OM pan- ` P-kl <br /> Name:Z 1 kj tcC ( <br /> Title: SAFETY OFFICER Phone: ( 209 ) 465-7655 <br /> ATTACH ADDITIONAL INFORMATION <br /> 1. List the types of medical waste generated at your facility, i.e., Laboratory Wastes, <br /> Blood or Body Fluids, Sharps, Contaminated Animals, Surgical Specimens, or <br /> Isolation Wastes. (See "Regulated Medical Wastes" on Page 3.) <br /> BLOOD AND BODY FLUID SHARPS. <br /> 2. Estimate the monthly amount of medical waste generated at your facility. <br /> 2000 lbs . <br /> 3. Describe the medical waste handling procedures utilized by and applicable to your <br /> facility: <br /> a. Onsite location and method for segregation, containment, packaging, <br /> labelling, and collection. SEE ATTACHED <br /> -CONTINUED ON �IZL�CRSE- <br /> 7 <br />