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GUIDELINES FOR THE MEDICAL WASTE MANAGEMENT' PLAN <br /> (Please Type or Print) <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-EHD). The medical waste management plan shall contain the following information, <br /> as appropriate for your facility: <br /> Business Name: DAMERON HOSPITAL ASSOCIATION <br /> Business Address: 525 West Acacia Street, Stockton, CA 95203 <br /> Business Phone: ( 209 ) 944-5550 <br /> Type Of Facility Or Business: Hospital <br /> Registered As: (Check One) <br /> ( ) Small Quantity Generator With Onsite Treatment. (Generates < 200 lbs./mo.) <br /> ( ) Large Quantity Generator. (Generates 200 lbs. or more/mo.) <br /> (x) Large Quantity Generator With Onsite Treatment. (Generates 200 lbs. or more/mo.) <br /> Person Responsible For Implementation Of The Plan: <br /> Name: Mark G. Koenig <br /> Title: Chairman, Safety Committee phone: ( 209 ) 944-5550 pager 212 <br /> ATTACH ADDITIONAL INFORMATION <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 /> Laboratory Wastes, Blood/Body Fluids, Sharps, Surgical Specimens <br /> 2. Estimate the monthly amount of medical waste generated at your facility. <br /> 11,725 lbs./month (estimated) <br /> 3. Describe the medical waste handling procedures utilized by and applicable to your <br /> facility: please see reverse side. <br /> a. Onsite location and method for segregation, containment, packaging, <br /> labelling, and collection. See Y, JRBIT 1. <br /> -CONTINUED ON RE VE ME- <br /> 7 <br />