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ENVIRONMENTAL L <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: &AA <br /> hr 1f I C aY p . <br /> Business Address: � t{ Yldt L- ik <br /> �•���L Com, �t 5�o�{ <br /> City State Zip Code <br /> Phone Number: 4 tp Lf - a LQ) L0 <br /> Type of Facility or Business: <br /> REGISTRATION-FOR:" <br /> ❑ Small Quantity Generator with Onsite Treatment(Generates less than 2001bs/month). <br /> Dq 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: <br /> Name: aelk —�JQ�JQO ���, f y Title: b 9�'t- - rA c►,h cN 4-'e-e <br /> Phone:2 oy U LP - a t o a Date: Q1 - 9 -t S <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 /> 1_llr�v� s_3 /GC e- t m <br /> a)Do you generate a y pharmaceutical waste(expired, spent,partials,patient returns)? R Yes ❑No <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: o 0 <br /> EHD 45-03 5 <br /> 2015 <br />