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San Diego County Medical Waste Guidelines

MEDICAL WASTE INSPECTION GUIDELINES (SAN DIEGO COUNTY)

Pharmaceutical Waste Management

• Charcoal-Based Pharmaceutical Waste Disposal Products
  • Pharmaceutical waste generated in California must be treated by incineration, or by an alternative treatment technology that has received approval from the Department. The technologies on the Department’s alternative medical waste treatment technologies list are the only alternative treatments approved for use in California. None of the charcoal-based products currently in use have gained this approval, so they must be disposed of in a pharmaceutical waste container. Do not place pharmaceuticals mixed with these products into the solid waste.
• Pharmaceutical Waste Management

Medical Waste Packaging

Medical Waste Packaging

Waste Stream Segregation

Waste Stream Segregation

Locking Sharps Container Wall Mount

Locking Sharps Container Wall Mount • Lockable wall enclosure • Universally keyed • Made of durable, safe ABS plastic • Multiple mounting positions • Holds most universal 5-5.4-Quart sharps containers

Medical Waste Management Act

Medical Waste Management Act

OSHA Forms 300, 300A, 301 and Instructions

OSHA Forms 300, 300A, 301 and Instructions

Hepatitis B Vaccine Acceptance/Declination Form

Hepatitis B Vaccine Acceptance/Declination Form

Biohazard Warning Sign / Designated Biohazard Accumulation Area Sign

According to the County of San Diego Compliance inspection report: (4204) MW designated accumulation area not posted with an approved, legible biohazardous waste "warning sign" in English & Spanish which can be read from 25 ft. HSC 118310 Designated Biohazard Accumulation Area Sign

San Diego Medical Waste Services Biohazard Spill Kit Instructions

Biohazard Spill Kit Instructions

San Diego Medical Waste Services Compliance Checklist

Compliance Checklist

Dental, Medical & Veterinary Waste Management

Dental, Medical & Veterinary Waste Management

Home Generated Sharps In San Diego

Home-generated sharps waste is defined as hypodermic needles, pen needles, intravenous needles, acupuncture needles, lancets and other devices that are used to penetrate skin. As of September 1, 2008, California State Law prohibits the disposal of home-generated sharps into any container used for the trash, recycling or green waste. Informational Home Generated Sharps In San Diego Brochure

CERS Guide for an Existing Business Generating Medical Waste

CERS Guide for an Existing Business Generating Medical Waste

California's Acupuncturist Registration Requirements

A Small Quantity Generator (SQG) is a medical waste generator, other than a trauma scene waste practitioner, that generates less than 200 pounds per month of medical waste. Acupuncture needles are considered medical waste, therefore acupuncturists or acupuncture clinics are subject to all of the requirements under Chapter 4 of the Medical Waste Management Act (MWMA), Health and Safety Code (HSC) sections 117915 through 117946 (p.22-28), including an annual generator fee of $25. In addition, used acupuncture needles cannot be disposed of in solid waste or be transported by a generator to a household hazardous waste facility. Used needles must be picked up by a registered medical waste hauler, treated onsite by an approved treatment technology or be sent for treatment through a mail back program. A list of approved treatment technologies and a list of medical waste haulers can both be found on the Program page.

How to Dispose of Controlled Substances

Pharmaceutical wastes classified by the DEA as “controlled substances” must be disposed of in compliance with DEA requirements. The Department recommends the following process to make controlled substance waste nonretrievable. Pills containing a controlled substance are crushed before placing the residue into a pharmaceutical waste container. Controlled substance that is remaining in a syringe is wasted into a pharmaceutical waste container before disposing of the syringe in a sharps container. Expired medications should be returned through a reverse distributor. Under no circumstances should any waste medication – including controlled substance waste – be disposed of down the drain or into solid or biohazardous waste.

California's Small Quantity Generator Registration Fee

A Small Quantity Generator (SQG) is a medical waste generator, other than a trauma scene waste practitioner, that generates less than 200 pounds per month of medical waste. Medical waste includes, but is not limited to: sharps, biohazardous and pharmaceutical waste. If you recently received a letter from the Medical Waste Management Program regarding a fee of $25, it is because your facility's name was either on a medical waste transporters' customer list or a medical licensing list. You also may have been billed by your transporter on behalf of the Department, but now the Department is billing all SQGs that were previously billed by the transporter. As a generator of medical waste, you are subject to all of the requirements under Chapter 4 of the Medical Waste Management Act (MWMA), Health and Safety Code (HSC) sections 117915 through 117946 (p.22-28), including an annual generator fee.

W-9: San Diego Medical Waste Services, LLC

San Diego Medical Waste Services 2020 W-9 San Diego Medical Waste Services 2019 W-9

Automatic Payment Options

ACH/E-Check & Credit Card Authorization Form (Online) ACH/E-Check & Credit Card Authorization Form (Paper)

Hazardous Waste Transporter Permits

2018 Department of Toxic Substance Control (DTSC) 2019 Department of Toxic Substance Control (DTSC) 2020 Department of Toxic Substance Control (DTSC)

Certificate Of Liability Insurance (COI)

2018 Certificate Of Liability Insurance (COI) 2019 Certificate Of Liability Insurance (COI) 2020 Certificate Of Liability Insurance (COI)

Service Schedule / Disposal Manifests / Online OSHA Training Instructions

1. Visit our website by going to www.sdmedwaste.com 2. Click on the "Member Center" button in the upper right-hand corner of the Home page. 3. Click the "Service Schedule / Disposal Manifests / OSHA Training" button. 4. Enter your username and password (this will be provided to you) Example: Username: snd12345 Password: 12345 5. Click on the "MYDOCS" button in the upper right corner. 6. Click on the "Service Calendar" button. This is located under the Invoices & Payments tab.

• If you would like to view an additional locations calendar simply click on the "Switch Accounts" button.

• If asked for an administrative password, the password is the word safe

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Signature Veterinary Services

Signature Veterinary Services is a house call practice focusing on superior customer service and patient care. We provide wellness, consultation, euthanasia, and aftercare services for dogs and cats located in south Orange County, north San Diego County, and west Riverside County. signatureveterinaryservices.com

U.S. SHRED-DOCS

SHRED-DOCS is a locally-owned, Veteran-owned paper shredding company that is dedicated to protecting your personal information. We pride ourselves on high-quality, HIPAA compliant service on a budget. shred-docs.com

Arizona Medical Waste Services

Arizona Medical Waste Services is a locally owned, Veteran owned and operated company providing services to Tucson, Flagstaff, Yuma, Phoenix, Casa Grande and everywhere in between medwasteaz.com

Off-Cycle Service Request

The requested "off-cycle" service will be done on the soonest day that San Diego Medical Waste can safely do it. This "Off-Cycle" service does not constitute a re organization of your current service schedule and will be charged as a "normal service". Off-cycle service requests may be made by calling 619-990-4604, emailing info@sdmedwaste.com or by filling out an off-cycle service request form.

Types of Medical Waste Containers

There are many types of medical waste containers. For more informatin, click here to go to our " Medical Waste Containers 101" webpage.

Unaccompanied Access Waste Collection (UAWC)

Instructions for setting a combo on San Diego Medical Waste Lock Box