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�► s <br /> ENVIRONMENTAL HEALTH DEPARTMENT <br /> SAN JOAQUIN COUNTY <br /> 1868 E. Hazelton Avenue <br /> Stockton, California 95205 <br /> Telephone: (209)468-3420 <br /> Fax: (209)468-8392 <br /> GUIDELINES FOR THE MEDICAL WASTE MANAGEMENT PLAN <br /> Small quantity generators that provide onsite treatment and all large quantity generators shall have a <br /> Medical Waste Management plan on file with the San Joaquin County Environmental Health Department. <br /> The Medical Waste Management Plan shall contain the following information as appropriate for your <br /> facility: <br /> Business Name: eC6MyywrwhA (�D(L11 <br /> V 1k,Business Address: "WAl-V -rr <br /> (A- <br /> city State Zip Code <br /> Phone Number: (2(,fl -) 9 <br /> Type of Facility or Business: Communtb4 Cpjtrye, <br /> REGISTRATION-FOR:- <br /> Ej Small Quantity Generator with Onsite Treatment(Generates less than 200 lbs/month). <br /> Large Quantity Generator Only(Generates 200 lbs or more/month). <br /> F1 Large Quantity Generator with Onsite Treatment(Generates 200 lbs or more/nionth). <br /> Person responsible for implementation of the Medical Waste Management Plan: <br /> Name: t; r4 no Title: (Wi 5vt <br /> Alviv <br /> Phone: qf5 Date: 10-21, IC ?I 6-mCe, <br /> 1. List the types of medical waste generated at your facility(i.e. laboratory wastes,blood or body <br /> I uids,tiaips,contaminated animals,surgical specimens,trace chemo or isolation wastes): <br /> 1"4". tn A I I iff <br /> YAALAdUIVI )JUuCz'-r6—' 15 <br /> a)Do you generate M pharmaceutical waste(expired,spent,partials,patient retums)? F] Yes [91NO <br /> If yes, describe the type of pharmaceutical waste(expired,spent,partials,patient returns): <br /> And estimate the monthly amount of pharmaceutical waste generated at your facility: <br /> EHD 45-03 <br /> 2015 5 <br />