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This packet contains the information and forms you will need to help you comply with the <br />Medical Waste Management Act. <br />Instructions <br />Please reurn she completed forms prior to tredicAl waste gencrvior .'r trey. nent. <br />Complete the "Pre -Application Questionni-4re" on l'a�e 2 If your ai-,wers indicate <br />n <br />you are not required to register as a .edica ",aste genci ator, tl;cn compl ete the <br />"Certification Statement" on Page and return both complete forms to ttie mailing <br />address below. <br />If you aie required to register as a medical waste gener.^tor, a=; .i.,a4ed by affrmatil e <br />aw,,wers to questions 3 & 4 on the "Pre -Application v e", tiler <br />a. Complete the "Registration for Medical Waste" form located on <br />Page 4. <br />b. Complete a "Medical Waste Management flan" following tI',e quid.. -lines <br />provided on Page 5. <br />c. Return the completed i6ims and management plat, to tr e nia liiig aduiess <br />below. <br />Your cooperation in promptly registering and following the specified handling requirements is <br />greatly appreciated. <br />If you have any questions regarding registration or handling requirements, please contact (209) <br />468-3420 and ask for the Medical Waste Program. <br />Attn: Medical Waste Program <br />San Joaquin County Environmental Health Department <br />o00 East Main Street <br />Stockton, CA 95202 <br />EHD 45-03 WEB <br />04/18/08 <br />io <br />`T <br />ENVIROIMENTAL ALT EPA <br />1 Vn <br />SAN JOAQUIN COUNTY <br />oP4`"k c <br />? 9� <br />Donna K. Heran, R.E.H.S. <br />600 East Main Street <br />UnitSupervisors <br />Carl Borgman, R.E H.S. <br />y <br />r .a <br />�•' <br />Director <br />Laurie A. Cotulla, R.E.H.S. Stockton, California 95202 <br />Mike Huggins, R.E.H.S., R.D.I. <br />Margaret Lagorio, R.E.H.S. <br />Assistant Director <br />Telephone: (209) 468-3420 <br />Robert McClellon, R.L.H.S. <br />Fax: 209 468-3433 <br />Jeff Carruesco,R.E.H.S. <br />Kasey Foley, R.E.H.S. <br />This packet contains the information and forms you will need to help you comply with the <br />Medical Waste Management Act. <br />Instructions <br />Please reurn she completed forms prior to tredicAl waste gencrvior .'r trey. nent. <br />Complete the "Pre -Application Questionni-4re" on l'a�e 2 If your ai-,wers indicate <br />n <br />you are not required to register as a .edica ",aste genci ator, tl;cn compl ete the <br />"Certification Statement" on Page and return both complete forms to ttie mailing <br />address below. <br />If you aie required to register as a medical waste gener.^tor, a=; .i.,a4ed by affrmatil e <br />aw,,wers to questions 3 & 4 on the "Pre -Application v e", tiler <br />a. Complete the "Registration for Medical Waste" form located on <br />Page 4. <br />b. Complete a "Medical Waste Management flan" following tI',e quid.. -lines <br />provided on Page 5. <br />c. Return the completed i6ims and management plat, to tr e nia liiig aduiess <br />below. <br />Your cooperation in promptly registering and following the specified handling requirements is <br />greatly appreciated. <br />If you have any questions regarding registration or handling requirements, please contact (209) <br />468-3420 and ask for the Medical Waste Program. <br />Attn: Medical Waste Program <br />San Joaquin County Environmental Health Department <br />o00 East Main Street <br />Stockton, CA 95202 <br />EHD 45-03 WEB <br />04/18/08 <br />io <br />