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GUIDELINES FOR THE MEDICAL WASTE MANAGEMENT <br /> PLAN <br /> Small quantity generators that provide Onsite Treatment and all large quantity generators <br /> shall have a Medical Waste Management plan on file with the San Joaquin County <br /> Environmental Health Department. The Medical Waste Management Plan shall contain the <br /> following information as appropriate for your facility: <br /> Business Name: <br /> iso lrc� �,E A wo <br /> Business Address: A <br /> City State Zip Code <br /> Phone Number: <br /> Type of Facility or Business: <br /> REGISTRATION FOR: <br /> ❑ Small Quantity Generator with Onsite Treatment(Generates less than 2001bs/month). <br /> S Large Quantity Generator Only(Generates 200 lbs or more/month). <br /> ❑ Large Quantity Generator with Onsite Treatment(Generates 200 lbs or more/month). <br /> Person responsible for implementation of the Medical Waste Management Plan: {q <br /> Name: Title: <br /> Phone: (,2oOi � ��- Date: <br /> 1. List the types of medical waste generated at your facility, i.e., laboratory wastes,blood or body <br /> fluids, sharps, contaminated animals, surgical specimens,trace chemo or isolation wastes": <br /> �;.vbca � �t7�`C' r►.V��s� S�-aa+2.f'3 <br /> a) Do y u generate a�pharmaceutical waste(expired/outdated, spent,partials,)? <br /> b) []Yes ❑No <br /> If yes, describe the type of pharmaceutical waste(expired, spent,partials,outdated,patient <br /> returns,etc): is S Ti a CHIC . <br /> �'�s,2�a�s►� M� uovve tL O�sf G�� <br /> And estimate the monthly amount of pharmaceutical waste generated at your <br /> facility: ISD U�-1 <br /> EHD 45-03 5 <br /> 10/6/2006 <br />