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SANJOAQUIN Environmental Health Department <br /> ----COUNTY--- <br /> If <br /> OUNTY-- <br /> If yes, describe the type of pharmaceutical waste (expired, spent, partials, patient returns): <br /> And estimate the monthly amount of pharmaceutical waste generated at your facility: <br /> 2. Estimate the month) amount of medical waste (excluding waste pharmaceuticals) generated <br /> at your facility: ' <br /> 3. Describe the medical waste handling procedures utilized by and applicable to your facility, <br /> including, but not limited to the following: <br /> a. Onsite location and method for segregation, containment, packaging, labeling and collection, <br /> including pharmaceutical waste: <br /> b. Storage area description with storage methods utilized for each waste stream including any <br /> pharmaceutical waste: /fid <br /> S <br /> /0 / <br /> c. If medical waste is treated onsite, describe the treatment facility including type of treatment <br /> utilized, maximum capacity, time and temperature necessary, alternate contingency plan in <br /> case of equipment failure, etc.: <br /> d. Name, address, registration number and phone number of the registered hazardous waste <br /> hauler employed by your facility for biohazardous (excluding pharmaceutical waste) and <br /> sharps waste: <br /> Name: <br /> Address: <br /> Cit _ State Zip Code <br /> Phone: ( ) -- <br /> Registration #: 4 <br /> e. Name, address, registration number and phone number of the registered hazardous waste <br /> hauler or common carrier employed by your facility for pharmaceutical waste: <br /> 7of11 <br />