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GUIDEUM FOR THE MEDICAL "E MANAGEMENT PLAN <br /> (Please Type or t) <br /> Small quantity generators that provide onsite treatment and all large quantity generators <br /> shall have a medical waste management plan on file with the local enforcement agency <br /> (PHS-ED). The medical waste management plan shall contain the following information, <br /> as appropriate for your facility: <br /> Business Name: ;L �-- �� <br /> Business Address: L"co 1 21 <br /> Business Phone: ( ) <br /> Type Of Facility Or Business: <br /> Registered A : (Check One) <br /> Small Quantity G for With Onsite Treatment. (Generates < 200lbs./mo.) <br /> OLarge Quantity Generator. (Generates 200 lbs. or more/mo.) <br /> ( ) Large Quantity Generator With Onsite Treatment. (Generates 200 lbs. or more/mo.) <br /> Person Responsible For Implementation Of The Plan: <br /> Name: <br /> Title: Phone: <br /> ATrACH ADDITIONALO O <br /> 1. List the types of medical waste generated at your facility, i.e., Laboratory Wastes, <br /> Blood or Body Fluids, Sharps, Contaminated Animals, Surgical Specimens, or <br /> Isolation Wastes. (See "Regulated Medical Wastes" on Page 3.) <br /> 2. Estimate the monthly amount of medical waste generated at your facility. <br /> . Describe the medical waste handling procedures utilized by and applicable to your <br /> facility: <br /> a. Onsite location and method for segregation, containment, packaging, <br /> labelling, collection. <br /> a REVERSE- <br /> 7 <br /> . E.® <br />