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Jan,31. 2012 10:32AM LD MEDICAL ENGINEERING 4P No.5494 P. 6 <br />GUIDELINES FOR THE MEDICAL WASTE MANAGEMENT <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 Sart Joaquin County <br />Environmental Health Department. The Medical Waste Management Plan shall contain the <br />following information as appropriate for your facility: <br />Business Name:tt CHOW WuIiCIAyy-) <br />Business Address: y ° r) 14 a - t�(c�j � flam rynr U0 . <br />City State Zip Code <br />Phone Number: <br />4 t, a <br />Type of Facility or Business: � U b\ <br />. ff t <br />❑ Small Quantity Generator with Onsite Treatment (Generates less than 200lbs/month). <br />Large Quantity Generator Only (Generates 200 lbs or more/month). <br />❑ Large Quantity Generator with Onsite Treatment (Generates 200 lbs or more/month). <br />Person responsible for implementation of the Medical Waste Management plan: <br />t <br />per, d <br />Name: k'\" Title: ni ux �-t.0M, fX' <br />Phone:kn�.1. 11� }G Date: 11 <br />1. List the types of medical waste generated at your facility, i.e., laboratory wastes, blood or body <br />fluids, sharps, contaminated animals, surgical specimens, trace chemo or isolation wastes": <br />,i :USap rJ W.m. 6APAY2. rVAW6 AVASE >tfaST �cJTfJAC <br />P� <br />a) Do you generate aM phafmaeeutical waste (expired/outdated, spent, partials,)? <br />b) Yes ❑ No <br />If yes, describe the type of pharmaceutical waste (expired, spent, partials, outdated, patient <br />returns, etc): <br />F'a %,-TtA — DRO& VtAwf s u mcbccA 7-f w.J S�/Rr GE.S <br />And estimate the monthly amount of pharmaceutical waste generated at your <br />facility: VJIN <br />EHP as -03 <br />10/6/2006 <br />