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MAY/13/2011/FRI 13: 48 P. 002 <br /> i • kk l4 <br /> ENVIRONMENTAL T DEPARTMENT <br /> gy�u,ty <br /> SAN JOAQUIN COUNTY <br /> TY Unit Supervisors <br /> Donna K.Reran,R-LITS. 600 Main Street Carl Borgman,RE H S. <br /> :a Director Mke I-i4sim,I X—R.S.,1Zp.1. <br /> Laurie A.Cotulb,MILH.S. Stockton,California 95202 ;Margaret i agorio,R.E.H.S. <br /> _ '• Assistant Director Telephone: (209)468-3420 Robert McClellon,R.E.H.S. <br /> Fax: (209} 468-3433 Jeff Camesco,12.E H.S. <br /> TCasey Foley,R.E.H.S. <br /> INF011MA.IZ0N PACKFT FOR MEDICAL WASTE GENERATORS <br /> This packet contains the information and forms you will need to help you comply with the <br /> Medical Waste Management Act. <br /> Instructions <br /> Please return the completed forms prior to medical waste generation or treatment. <br /> 1. Complete the"Pre-Application Questionnaire on Page 2. If your answers indicate <br /> you are not required to register as a medical waste generator,then complete the <br /> "Certification Statement" on Page 3 and return both complete forms to the mailing <br /> address below. <br /> 2. If * are required to register as a medical waste generator,as indicated by affirmative <br /> answers to questions 3&4 on the "Pre-Application Questionnaire ,then: <br /> a. Complete the "Registration for Medical Waste"form located on <br /> Page 4. <br /> b. Complete a"Medical Waste Management Plan"following the guidelines <br /> provided on Page 5. <br /> c. Return the completed forms and management plan to the mailing address <br /> below. <br /> Your cooperation in promptly registering and following the specified handling requirements is <br /> greatly appreciated. <br /> If you have any questions regarding registration or handling requirements,please contact(209) <br /> 468-3420 and ask for the Medical Waste Program. <br /> RETURN,ALL COMPLETED FORMS T <br /> Attn: Medical Waste Program <br /> San Joaquin County Environmental Health Department <br /> 600 East Main Street <br /> Stockton,CA 95202 <br /> L71M 45-03 WEB 1 <br /> 04/105 <br />