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f Name, address and phone number of offsite treatment facility where biohazardous (excluding <br /> pharmaceutical waste)and sharps waste is transported for treatment, if different than the <br /> hauler: <br /> Name: <br /> Address: <br /> City State Zip Code <br /> Phone: <br /> g. Name, address and phone number of offsite treatment facility where pharmaceutical waste is <br /> transported for treatment, if different than the pharmaceutical waste hauler: <br /> & I <br /> Name: <br /> Address: <br /> City State Zip Code <br /> Phone: <br /> h. Do you handle phannaceutical waste that is classified by the federal Drug Enforcement Agency <br /> (DEA) as"controlled substances"? E] Yes §allo <br /> If yes, describe how the"controlled substances"are disposed: <br /> i. All medical waste generators are required to keep accurate records regarding containment, <br /> storage, hauling,treatment and disposal. All medical waste records are to be maintained and <br /> available for review during inspection for two (2)years. Do you have tracking documents for all <br /> medical wastes handled at your facility?: XYes F1 No 'I <br /> j. Describe training provided to staff regarding handling, storage, disposal and record kee'ping of <br /> all medical waste, including pharmaceutical waste, at your facility: '4-q 1AV),t�erk4Y <br /> Cukrew -ry'ainvia Dn f-VA7-ay-cl, CMIML-kni-Ca-ii On. PDVrePAYA-h-00 <br /> Arn QU5 WOSIC dfc-BO'Sal <br /> k. Describe your medical waste emergency action plan, including procedures for handling spills, <br /> exposures,equipment failures, etc. (attach information as necessary): _JAM W fj� b15P06-A L- <br /> P. O. M)X q-BLP Cf� 9 !i .- <br /> LID-1) ?40-3-B913 Y RCO) )33- 0 <br /> rne d L�as <br /> EHD 45-03 7 <br /> 2015 <br />