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10/14/2013 18:13 2092394 MANTECARM PAGE 08 <br /> 40 <br /> Phone: (55q) '3-34 --33322 <br /> g. Name,addres,G and phone number of Offsite Treatment]Facility where pharmaceutical <br /> waste is transported For treatment, if different than pharmaceutical waste hauler: <br /> Name: <br /> Address: <br /> City State Zip Code <br /> .Phone: <br /> h: All medical waste generators are required to keep accurate records regarding <br /> containment,storage, hauling,treatment and disposal. All.medical waste records area to <br /> be naa.inta.i.ned and available for review during inspection for three(3)years. o you <br /> have tracking documents-for all medical wastes Dandled at your facility: s p No <br /> i. Describe training provided to staff regarding handling, storage, disposal,and record <br /> keeping of all medicnl waste,including pharx4accutical was,�,at your:facility: <br /> _ b1'a �dAac rc� <br /> J. l3escribe your medical waste emergency action plant, including procedures for <br /> handling spills,exposures, equipment failures,etc: <br /> i.hereby certify to the best of my knowledge and belief that the statements Heade herein are <br /> correct and true. <br /> Signature: <br /> Printed Na tile <br /> Tit:lc: � t vt�1 j •�(�. <br /> :mate: 37 <br /> ETD 4s.os <br /> Received Time"Oct. 14. 2013 6: 14PM No, 0850 <br />