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Small quantity generators that provide onsite treatment and all large quantity generators shall have a Medical Waste <br />Management plan on file with the San Joaquin County Environmental Health Department. The Medical Waste <br />Management Plan shall contain the following information as appropriate for your facility: <br />Business Name: Omnicare of Northern California #48214 <br />Business Address: 850 S. Guild Ave. <br />Lodi CA 95240 <br />City State Zip Code <br />Phone Number: ( 209 ) 333-4900 <br />Contact Person: Matthew Dentch Phone Number (if different from above): ( 401 ) 770-4099 <br />Type of Facility or Business: Long -Term Care Pharmacy <br />Registration for: <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: Shelly Morris Title: Back End Manager <br />Phone: 209-366-6855 ext: 61596 Date: 3/11/2019 <br />1. List the types of medical waste generated at your facility (i.e. laboratory wastes, blood or body fluids, sharps, <br />contaminated animals, surgical specimens, trace chemo or isolation wastes): <br />Sharps <br />Do you generate any pharmaceutical waste (expired, spent, partials, patient returns)? ® Yes ❑ No <br />If yes, describe the type of pharmaceutical waste (expired, spent, partials, patient returns): <br />Expired, spent, partials, and patient returns <br />And estimate the monthly amount of pharmaceutical waste generated at your facility: 1650 lbs. <br />2. Estimate the monthly amount of medical waste (excluding waste pharmaceuticals) generated at your facility: 899 lbs. <br />3. Describe the medical waste handling procedures utilized by and applicable to your facility, including, but not limited <br />to the following: <br />a. Onsite location and method for segregation, containment, packaging, labeling and collection, including <br />pharmaceutical waste: <br />Medical waste and pharmaceutical waste are stored in waste storage areas in north-east corner <br />of the Pharmacv and along the south facing wall in returns area. See Section 3.0 in attached for <br />more detail. <br />5of8 <br />