Laserfiche WebLink
ENVIRONMENTAL HEALTH DEPARTMENT <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: <br /> Business Address: �re �IcAd -(Uft 190 <br /> CA 0151311- <br /> City State Zip Code <br /> Phone Number: <br /> Type of Facility or Business: C% yj I C. <br /> REGIST RATIOTCFOR: <br /> ❑ Small Quantity Generator with Onsite Treatment(Generates less than 200 lbs/month). <br /> 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: Title: <br /> Phone: Date: <br /> 1. List the types of medical waste generated at your facility(i.e. laboratory wastes, blood or body <br /> fl ids, sharps,contaminated animals, surgical specimens,trace chemo or isolation wastes): <br /> r <br /> a)Do you generate M pharmaceutical waste(expired, spent,partials,patient returns)? Yes ❑No <br /> If yes, describe the type of pharmaceutical waste (expired spent. partials,T)atient return <br /> vnlad wd4' O- <br /> Pti6uwl l <br /> l u 01&a <br /> % I I — L 1 1, 1 Lf- °4 <br /> And estimate the monthly amount of pharmaceutical waste generated at your facility: <br /> EHD 45-03 5 <br /> 2015 <br />