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r Storage area description • methods 'r including <br />duration <br />and temperature c? a mlicable. <br />�trols, if <br />+ s <br />.. <br />C. <br />description,includingoftreatment utilized, <br />maximum•. and temperature necessary, alternate contingency <br />plan in case of • r <br />L Name, address, registration number, and phone number, of the regist <br />aste hauler emplojed by/ <br />.yyz facility <br />♦ <br />address,f phone numberof offsite treatment -medic <br />Waste trans. •• r •r r -. • <br />i <br />�y P09 7- ZeY <br />f. 610 u'11?,?ViaYfi2ted Quantity lia mption? o on your staff <br />authorized •:transportyour `•waste? <br />g. Do you have tracking documents for all medical wastes handled at. your <br />facility? All medical waste generators are required to keep accurate records <br />regarding containment, storage,treatment disposal.medical <br />. <br />waste records are to be maintained and available for 3 years. >/elj <br />h. Describe your medical waste emergency action plan, including procedures for <br />handling spills, exposures, equipment failures, etc. <br />se e a-rl&cl e .s7eAC. ul-S <br />I hereby certify that to the best of my knowledge and belief that the statements made <br />herein are correct and true. <br />SIGNATURE: TITLE: ® de - DATE: <br />