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£ Name,address and phone number of offsite treatment facility where biohazardous(excluding <br /> pharmaceutical waste)and sharps waste is transported for treatment,if different than the <br /> hauler: <br /> Name: <br /> Address: <br /> City State Zip Code <br /> Phone: _) <br /> g. Name,address and phone number of offsite treatment facility where pharmaceutical waste is <br /> transported for treatment,if different than the pharmaceutical waste hauler: <br /> Name: 3 1A C QL Eh V!4Y,O M 4 o-Q <br /> Address: Q 011b- Lz <br /> 5 1 <br /> City J State Zip Code <br /> Phone: (71 Dl) A -7 7 3 <br /> h. Do you handle pharmaceutical waste that is classified by the federal Drug Enforcement Agency <br /> (DEA)as"controlled substances"? ❑Yes ®No <br /> If yes,describe how the"controlled substances"are disposed: <br /> L All medical waste generators are required to keep accurate records regarding containment, <br /> storage,hauling,treatment and disposal. All medical waste records are to be maintained and <br /> available for review during inspection for two (2)years. Do you have tracking documents for all <br /> medical wastes handled at your facility?: R Yes ❑No <br /> j. Describe training provided to staff regarding handling,storage,disposal, and record keeping of <br /> all medical waste,in pharmaceutical waste,at your facility: 6,11 /� ✓S S <br /> <-s c. S S !h �r'►S cgr+ �.3 <br /> k. Describe your medical waste emergency action plan,including procedures for h ndling spills, <br /> ex o'surees,equipment failures, etc. (attach' formation as necepsary): f I r q-.S <br /> %14 4t <br /> t N <br /> EHD 45-03 7 <br /> 2015 <br />