Laserfiche WebLink
f 41 <br /> MEAL WASTE MANAGEINIENT PROD& <br /> TELEPHONE CONTACT DOCUMLENTAITON FORM <br /> DATE: le-717—A PHS-EHD RENS: <br /> TIME. Z, : WO 4E2 <br /> NAMEOFFAcrLnYORBUSINESS: <br /> ADDRF.SSOFFACrLMYORBusrNESS: 55;-Mt-�722AJ <br /> PHONE NUMBER OF FACILITY OR BUSINESS:_ <br /> NAME OF CALLER OR PERS CALLED: Z2111 lee. <br /> Q!��b.—-,�2_1�� �. ___ <br /> QUESTIONS TO ASK AS APPROPRIATE: <br /> 1. Did you receive medical waste registration packer? <br /> &42 <br /> 2. Does packet apply to you? <br /> 3. Do you generate medical waste? <br /> 4. How much do you generate per month? <br /> 5. Do you treat your medical waste onsite? <br /> 6. Where do you store your medical waste? <br /> -Store jointlywi th other physicians? <br /> At a hospital <br /> Common storage facility (i.e., partnership in medical group <br /> building) <br /> Other (list) <br /> -Store by yourself? <br /> 7. What is storage location (in building) and storage facility address? <br /> 8. Do you haul your own waste or do you use a registered hazardous waste hauler? <br /> 9. Who is your contact person for medical waste management? <br /> 10. What is contact person phone number/extension? <br /> 11. Mention fee workshop on 10-3-91 is for those with fee questions or comments only. <br /> Answer fee questions while on phone if possible or take a message. <br /> 12. Document conversation here: -E 5?11- 005�r_119341_/ 7-7-1 -XI-111FOR-11-1 <br /> A-5 4 <br /> _-n� j4L A-V7V 4,i-AlIr <br /> L <br /> g��- Ety_TQAO, <br /> wp\.dcnnaVncdwaspILone 9-9-91 <br />