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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: GDD(11t-TbK) PakC700AL- CA F, CE10TEP. <br /> Business Address: W V), UUf:b?--011N 5T-PLEET <br /> 6nCkTb1j C,ft q5aa <br /> City State Zip Code <br /> Phone Number: 1)TF <br /> Type of Facility or Business: <br /> REGISTRATION--FOR:- <br /> F] 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: _L4v%t t Title: <br /> Phone: 1DR- Date: <br /> 1. List the types of medical waste generated at your facility(i.e. laboratory wastes, blood or body <br /> d al .cal specimens,trace cherno or isolation wastes): <br /> fluid , sharps, con at5 S, urgl <br /> ul 5 �a V-P5 <br /> 510oa hod�trh d67 <br /> I -P - <br /> a) Do you generate ggy pharmaceutical waste(expired, spent,partials,patient returns)?E:1 Yes Iwo <br /> If yes, describe the type of pharmaceutical waste(expired, spent,partials,patient returns): <br /> And estimate the monthly amount of pharmaceutical waste generated at your facility: <br /> EHD 45-03 5 <br /> 2015 <br />