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e 0 Page 1 of 1 <br />Benjamin Escotto [EH] <br />From: Benjamin Escotto [EH] <br />Sent: Monday, November 15, 2010 11:46 AM <br />To: 'Ivukmirovich@pacmedical.com' <br />Subject: Changes to the Medical Waste Management Plan <br />Dear Lori, <br />This is Ben Escotto with San Joaquin County Environmental Health Department. Per the request of Pacific <br />Medical Inc., I am emailing the required changes to the Medical Waste Management Plan (MWMP). The changes <br />are listed below: <br />1. Please state on p.2 that waste shall be picked up every 7 days unless the waste is stored at or below 0 <br />degrees C (may be <br />stored up to 90 days). <br />2. On p.2 please change "storage" of sharps to "accumulation" of sharps. Again sharps may be stored only 7 <br />days unless <br />they are stored at or below 0 degrees C. <br />3. On p.2 please state that the storage of pathology waste many not exceed 7 days unless stored at or below <br />0 degrees C. <br />4. Please state on p.3 that the bleach used for disinfection will be at a minimum of 500 parts per million (ppm; <br />0.5 ml per <br />1000 ml). <br />5. On p.4 please state, where appropriate, that pickups will occur on a "weekly" basis, not a "bi-weekly" basis. <br />6. Please state on p.4 that records for the pickup of the medical waste will be on site and available for review <br />for 3 years. <br />7. State that no treatment of the medical waste occurs on site. <br />8. Please add the following: <br />A) description of the type of medical facility <br />B) the types and estimated average monthly quantity of medical waste generated <br />C) name and business address of the registered medical waste hauler <br />D) name and business address of the offsite medical waste treatment facility to which the waste is <br />brought to <br />E) an emergency action plan (name, address, and phone number of a backup hauler) <br />F) a certification statement (certifying that the information in the MWMP is complete and accurate) <br />followed by your or <br />another representative's signature <br />If you have any questions you can email me at bescotto sjcehd.com or call me at (209) 468-3178. Thank you. <br />Ben Escotto <br />REHS <br />11/15/2010 <br />