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GUIDELINES 1' ' THE MEDICAL <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: Si • Tose fh`S lmmfjLAfr, Um <br />Business Address: 18Di E HolSi-e- 4tob l 480,b <br />&TDcxrpn CGS 95"4 <br />City State Zip Code <br />Phone Number: ( 7, ) — I 0 D <br />Type of Facility or Business: " IN1 <br />❑ Small Quantity Generator with Onsite Treatment (Generates less than 200lbs/month). <br />Large Quantity Generator Only (Generates 200 lbs or more/month). <br />❑ Large Quantity Generator with Onsite Treatment (Generates 200 lbs or snore/month). <br />Person responsible for implementation of the Medical Waste Management Plan: <br />Name: T&V1 vomjlf, <br />Title: 151 ,06 n s <br />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 />Cyan✓nc Iim@-tf_ /ihA AIAw®Inn^A--Jin.o AarmAAIF. III' rOl0 -,#, A <br />a) Doou generate gLny pharmaceutical waste (expired/outdated, spent, partials,)? <br />b) M Yes ❑ No <br />If yes, describe the type of pharmaceutical waste (expired, spent, partials, outdated, patient <br />returns, etc): <br />And estimate t e mon hly amount of pharmaceutical waste generated at your <br />facility: A fl <br />EHD 45-03 <br />10/6/2006 <br />