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1992 <br />GENERATOR'S INFECTIOUS WASTE MANAGEMENT PLAN <br />• A person may prepare a common management plan for all generating facilities owned and operated by the <br />person. If a single plan is prepared to cover multiple facilities, the plan must identify common policy and <br />procedures for the tacilities and any management procedures that are facility specific. The plan must identify <br />each generating facility covered by the plan (Minn. Stat. § 116.79 subd. 1 [a]). <br />List all generating facilities covered by this plan. <br />t~-~c G© <br />r~ _ - <br />- _. ~ <br />List all nongenerating facilities owned and operated by the generator (i.e., bitting offices, nonembalming <br />mortuaries). _ <br />• Describe what activities, programs and locations at and associated with the facility generate infectious or <br />pathological waste). ~ \ . <br />Person responsible for the management of infectious waste__(y.,2 `x.11 `~w.fi . -- <br />Phone number ( (p~q - ~ <br />The management plan must describe, to the extent the information is applicable to the facility (Minn. Stat. <br />§ 118.79, subd. 1 [bJ): <br />The type of infectious waste and pathological waste that the person generates or handles (Minn. Stat. § 116.79, <br />subd. 1 [bl [1 ]). <br />1. Type of waste generated: (check all that apply) <br />[ ]Laboratory Waste Sharps <br />[ ]Stood [ ]Research Anima! Waste <br />• ( ]Regulated Body Fluids [ ]Pathological Waste <br />The segregation, packaging, labeling, collection, storage, and transportation procedures for the infectious <br />waste or pathological waste that will be followed. (Minn. Stat. § 116.79, subd. 1 [bj j2]) <br />