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Medical Waste Management Plan <br />Kaiser Permanente — Tracy Medical Office <br />1/01/202642/31/2026 <br />(b) Name, address and phone number of offsite treatment facilities that Stericycle uses where <br />medical waste is transnnrtpd fnr trn�fmnn F. <br />(c) Do you handle pharmaceutical waste that is classified by the federal Drug Enforcement Agency <br />(DEA) as "controlled substances"? <br />• Yes <br />Type of <br />Method of disposal <br />Waste <br />Stericycle's Autoclavable <br />Treatment Facilities List <br />Pharmaceutical Waste Container with a documented witness <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />(c) Do you handle pharmaceutical waste that is classified by the federal Drug Enforcement Agency <br />(DEA) as "controlled substances"? <br />• Yes <br />Type of <br />Method of disposal <br />Waste <br />IV/PO <br />Pharmaceutical Waste Container with a documented witness <br />liquids / <br />The following are products that use chemical process to permanently <br />alter the chemical properties <br />Tablets / <br />of the controlled substances and therefore comply with DEA <br />regulations: <br />Capsules <br />• CactusTM Smart SinkTM <br />• Rx DestroyerTM <br />*The destruction of controlled substances in the pharmacy's <br />inventory must be documented on <br />DEA Form 41. Refer to the specific requirements outlined in <br />NATL.PHARM.014, Controlled <br />Substance in Pharmac 's Inventor policy. <br />ttt <br />(d) Do you have a Materials of Trade (MOT) Exemption? Who on your staff is authorized to <br />transport your medical waste? <br />• No, a MOT is not applicable to this facility. <br />(e) Do you have tracking documents for all medical waste handled at your facility? <br />• All medical waste 1•ecords are maintained onsite and available for the last 3 years. <br />(f) Describe training provided to staff regarding handling, storage, disposal, and record keeping of <br />all medical waste, including pharmaceutical waste: <br />• Training is provided to staff on annual basis. <br />• Training modules are on the topics of DOT (general awareness -safety & security/Regulated <br />Medical Waste Function Specific), Waste Segregation & Disposal, and Spill Response. <br />• All training records are maintained onsite and available for the last 3 years. <br />Tracy MOB Page 4 of 5 <br />