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SANn10AQUIN r, �Pl -COUNTY— Environmental Health Department Greatness grows here. g. Name, address and phone number of offsite treatment facility where pharmaceutical waste is transported for treatment, if different than the pharmaceutical waste hauler: Name: Same as above Address: City State Zip Code Phone: ( Registration #: h. Do you handle pharmaceutical waste that is classified by the federal Drug Enforcement Agency (DEA) as "controlled substances"?Yes ❑No If yes, describe how the "controlled substances" are disposed Unused Medications are spent into the container and disposed of by vendor. L All medical waste generators are required to keep accurate records regarding containment, storage, hauling, treatment and disposal. All medical waste records are to be maintained and available for review during inspection for two (2) years. Do you have tracking documents for all medical wastes handled at your facility? Fx Yes ❑ No j. Describe training provided to staff regarding handling, storage, disposal, and record keeping of all medical waste, including pharmaceutical waste, at your facility: Dot training provided by vendor annually, healthstream k. Describe your medical waste emergency action plan, including procedures for handling spills, exposures, equipment failures, etc. (attach information as necessary): See attached Waste Management Plan I. Describe how reusable medical waste carts or containers are cleaned and decontaminated (see below for approved cleaning methods): Containers are processed at the vendors 'facility: Stericycle 4135 W. Swift Ave Fresno CA, 93722 (599) 834-6252) Approved cleaning methods include agitation to remove visible soil combined with one of the following: 1. Exposure to hot water of at least 82 degrees Centigrade (180 degrees Fahrenheit) for a minimum of 15 seconds. 2. Exposure to chemical sanitizer by rinsing with, or immersion in, one of the following for a minimum of three Minutes: • Hypochlorite solution (500 ppm available chlorine) • Phenolic solution (500 ppm active agent) • lodoformism solution (100 ppm available iodine) • Quaternary ammonium solution (400 ppm active agent) m. Describe, if medical waste is treated onsite, a closure plan for the termination of treatment, using at a Minimum, one of the above referenced approved cleaning methods: None – no treatment is done on site. hereby certify to the best of my knowledge and belief that the statements herein ar co ect and true. Printed Name: 1JWa+� 1 Signature: