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MAY/13/2011/FRI 13: 49 P, 008 <br /> Phone: ( ) <br /> g. Marne,address and phone number of Offsite Treatment Facility where pharmaceutical <br /> waste is transported for treatment,if different than pharmaceutical waste hauler: <br /> Name: <br /> Address: <br /> City State Zip Code <br /> Phone: ( ) <br /> h. All medical waste generatbrs are required to keep accurate records regarding <br /> containment,storage,hauling,treatment and disposal. All medical waste records area to <br /> be maintained and available for review during inspection for three(3)years. Do you <br /> have tracking documents for all medical wastes handled at your facility: ❑Yes p No . <br /> i. Describe training provided to staff regarding handling,storage,disposal,and record <br /> keeping of all medical waste,I cl ding pharmnea tical waste,at your facility: <br /> r <br /> j. Describe your medical waste emergency action plan,including rocedures for <br /> handling spills,exposures,equip ent failures,etc: �D 5 dol <br /> K f G�i1 `tcr aAd ( Wi2 <br /> o le— <br /> I hereby certify to the best of my Imowledge and belief that the statements made herein are <br /> correct and true. <br /> Signature:_�l <br /> Printed Name:� rG <br /> Title: (t_�i,Tl� <br /> Dater <br /> EM 45-03 7 <br /> ]0/6/2006 <br />