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Medical Waste Management Plan <br />Kaiser Permanente — Tracy Medical Office <br />1 /01 /2026-12/31 /2026 <br />(b) Exposure to chemical sanitizer by rinsing with, or immersion in, one of the <br />following for a minimum of three minutes: <br />(1) Hypochlorite solution (500 ppm available chlorine). <br />(2) Phenolic solution (500 ppm active agent). <br />(3) Iodoform solution (100 ppm available iodine). <br />(4) Quaternary ammonium solution (400 ppm active agent). <br />(5) Pure Chlorine (500 ppm), Dilution of 5ml in 100 ml of water. <br />(6) Oxycide (Peroxyacetic Acid / Hydrogen Peroxide) Concentrate <br />The following materials are classified as medical waste: Container Requirements and <br />Labeling Procedures: <br />Sharps Waste - a device that has acute rigid corners, edges, or protuberances capable of cutting or piercing, Shall be contained in a United States Food and Drug <br />including, but not limited to, hypodermic needles, hypodermic needles with syringes, blades, needles with Administration (USFDA) approved sharps container that <br />attached tubing, acupuncture needles, root canal files, broken glass items used in health care such as Pasteur meets USFDA labeling requirements and is handled <br />pipettes and blood vials contaminated with biohazardous waste, and any item capable of cutting or piercing from pursuant to Section 118285. "Sharps Waste", or the <br />trauma scene waste, Biohazard symbol and the word "BIOHAZARD" <br />Pathological Waste - Human body parts, with the exception of teeth, removed at surgery and surgery Shall be segregated for storage and, when placed in a <br />specimens or tissues removed at surgery or autopsy that are suspected by the health care professional of being secondary container, that container shall be labeled with <br />contaminated with infectious agents known to be contagious to humans or having been fixed in formaldehyde or the words "Pathology Waste", " PATH", or other label <br />another fixative, approved by the department on the lid and on the sides, <br />so as to be visible from any lateral direction. <br />Biohazardous Waste — Regulated medical waste, clinical waste, or biomedical waste that is a waste or <br />reusable material derived from the medical treatment of a human, which includes diagnosis and immunization; <br />or from biomedical research, which includes the production and testing of biological products. <br />Regulated medical waste or clinical waste or biomedical waste suspected of containing a highly communicable <br />disease. Shall be placed in a biohazard bag conspicuously <br />Laboratory waste such as human specimen cultures; cultures and stocks of infectious agents from research; labeled with the words "Biohazardous Waste" or with <br />wastes from the production of bacteria, viruses, spores, discarded live and attenuated vaccines used in human the international biohazard symbol and the word <br />health care or research, including Brucellosis and Contagious Ecthyma, as defined by the department; culture "BIOHAZARD." <br />dishes, devices used to transfer, inoculate, and mix cultures; and wastes identified by Section 173.134 of Title Containers may be of any color and shall be labeled <br />49 of the Code of Federal Regulations as Category B "once wasted" for laboratory wastes, with the words "Biohazardous Waste" or with the <br />Waste that, at the point of transport from the generator's site or at the point of disposal contains recognizable international biohazard symbol and the word <br />fluid human blood, fluid human blood products, containers, or equipment containing human blood that is fluid. "BIOHAZARD" on the lid and on the sides so as to be <br />Waste containing discarded materials contaminated with excretion, exudate, or secretions from humans that are visible from any lateral direction. <br />required to be isolated by the infection control staff, the attending physician and surgeon, or the local health <br />officer, to protect others from highly communicable diseases or diseases of animals that are communicable to <br />humans. <br />Trace Chemotherapy wastes — waste that is contaminated through contact with, or having previously <br />contained, chemotherapeutic agents, including, but not limited to, gloves, disposable gowns, towels, and <br />intravenous solution bags and attached tubing that are empty, <br />A container is considered trace chemotherapy waste if: Shall be segregated for storage, and, when placed in a <br />1. All the chemotherapy drug has been removed using practices commonly employed to remove materials from secondary container, that container shall be labeled with <br />that type of container; the words "Chemotherapy Waste", "CHEMO", or other <br />2. The drug cannot drip or pour or be scraped out of the container. label approved by the department on the lid and sides, <br />Examples of trace chemotherapy waste are: so as to be visible from any lateral direction. <br />Contaminated gowns, gloves, masks, cleaning clothes, and barriers. Empty: IV tubing, IV bags/bottles, syringes, <br />drug vial <br />*Bulk Chemo is disposed as RCRA hazardous waste. <br />A person may consolidate into a common container, <br />Non-RCRA Pharmaceutical wastes — waste pharmaceuticals which are not federally hazardous (non-RCRA), which may be reusable, sharps waste, as defined in <br />radioactive or classified as municipal solid waste (trash). Section 117755, and pharmaceutical wastes, as defined <br />* Pharmaceutical waste classified by the federal Drug Enforcement Agency (DEA) as "controlled substances" in Section 117747. The container shall be labeled with <br />are disposed in compliance with DEA requirements, the biohazardous waste symbol and the words "HIGH <br />HEAT ONLY," "INCINERATION," or other label <br />approved by the department on the lid and on the sides, <br />so as to be visible from any lateral direction. <br />Tracy MOB Page 2 of 5 <br />