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If yes, describe the type f pharmaceutical waste (expired, spe , partials, outdated, patient returns, <br />etc): f <br />And estimate the monthly amount of pharmaceutical waste generated at your <br />facility: qO 165 <br />2. Estimate the <br />facility: <br />amount of medical waste (excluding waste pharmaceuticals) generated at your <br />3. Describe the medical waste handling procedures utilized by and applicable to your facility, including, <br />but not limited to the following: <br />a. Onsite location and method for segregation, containment, packaging, labeling and collection, <br />b. Storage area description with storage methods utilized for each waste stream including any <br />pharmaceutical waste: rtal hez r lrrf re <br />FA <br />91 <br />c. If medical waste is treated onsite, describe the treatment facility including type of treatment <br />utilized, maximum capacity, time and temperature necessary, alternate contingency plan in case <br />of equipment failure, etc: <br />d. Name, address, registration number and phone number of the registered hazardous waste <br />hauler employed by your facility for biohazardous (excluding pharmaceutical waste) and <br />sharps waste: <br />Name: ca //�Y�1/C� 7 lC5� <br />Address: '41 . -i "'O"5e. ve - <br />i! n t2 M q5S? <br />City State Zip Code <br />Phone: SE � C? <br />Registration #: L`7. oz- %t5 r 3 s <br />e. Name, address, registration number and phone number of the registered hazardous waste <br />hauler employed by your facility for pharmaceutical waste: <br />NoWig <br />M,' <br />Address: 21160 _ Th-ere--5c.ye-- <br />cog 1737R-5- <br />City <br />73782a'City State Zip Code <br />Phone: (��1) 5-865 <br />EHD 45-03 Page 2 <br />6/8/05 <br />