Form Cdph 8550 PDF Details

In the labyrinth of compliance and regulation that healthcare facilities navigate, the CDPH 8550 form serves as a crucial document, outlining the obligations and process for medical waste management in California. The State of California, through its Health and Human Services Agency and the California Department of Public Health (CDPH), has instituted this form as part of the California Medical Waste Management Program, striving to ensure that facilities generate, handle, and dispose of medical waste in a manner that is safe, responsible, and compliant with state laws. Facilities, identified as either Small Quantity Generators (SQG) or Large Quantity Generators (LQG) based on the volume of medical waste produced monthly, must furnish this form to register with the state, a step replete with details about the facility’s name, address, contact information, and the specifics of the medical waste management plan. Moreover, it requires information on the types of medical waste generated—such as biohazardous, sharps, pharmaceutical, chemotherapy, and pathology waste—and the method of disposal, whether it’s through a registered transporter, a mail-back system, or treated on-site by autoclave or alternative methods. The form emphasizes transparency and accountability by demanding the signature of an authorized representative, asserting the accuracy of the information under penalty of perjury. Registrants must also be mindful of the accompanying fee and the specific instructions for submitting the application and payment. The CDPH 8550 form, therefore, stands as a testament to the state’s commitment to public health and safety, by regimenting the disposal of medical waste in a fashion that mitigates potential hazards to both people and the environment.

QuestionAnswer
Form NameForm Cdph 8550
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other names278c form cdph, california generator registration, generator application form, cdph 8550 form

Form Preview Example

State of CaliforniaHealth and Human Services Agency

California Department of Public Health

California Medical Waste Management Program

Generator Registration Application

Facility Name

 

 

County*

 

 

 

 

 

Address (number, street)

City

ZIP code

Telephone

 

 

 

(

)

Mailing address (if different from above)

City

ZIP code

Fax

 

 

 

 

(

)

 

 

 

 

 

Email Address(s)

*Consult with CDPH prior to applying if you are unsure if CDPH is the enforcement agency for medical waste in your county.

Application Type:

Small Quantity Generator (SQG): Your facility generates less than 200 pounds of medical waste per month.

Large Quantity Generator (LQG): Your facility generates 200 pounds or more of medical waste per month.

New applicants must submit a copy of your facility’s Medical Waste Management Plan. Change of ownership: Registration number:

Types of waste your facility may generate: Biohazardous, sharps, pharmaceutical, chemotherapy, & pathology.

Our waste is:

Picked up by a registered transporter; name: _______________________

Refer to our website for a list of authorized haulers http://www.cdph.ca.gov/certlic/medicalwaste/Pages/Transporters.aspx

Mailed via Mail-Back System; name:____________________

Refer to our website for mail back information http://www.cdph.ca.gov/certlic/medicalwaste/Pages/MailBack.aspx

Treated onsite by autoclave ____________________ or by alternative treatment method ___________________

A LQG treating waste onsite shall apply for a permit with Form 8706. A SQG treating waste onsite (autoclave only) shall register with Form 8705. Both applications are available at: http://www.cdph.ca.gov/cert/medicalwaste

I certify under penalty of perjury that the information contained in this application is true and accurate to the best of my knowledge and belief.

Authorized Representative

Title

Signature

Date

The fee page is available at: http://www.cdph.ca.gov/pubsforms/forms/CtrldForms/cdph8662.pdf Make the check payable to the Medical Waste Management Fund.

Mail the application and fee to:

California Department of Public Health

Medical Waste Management Program

MS 7405

P.O. Box 997377

Sacramento, CA 95899-7377

Or courier to:

California Department of Public Health Medical Waste Management Program MS 7405

1616 Capitol Ave., 2nd Floor Sacramento, CA 95814

CDPH 8550 (1/2015) Generator Registration

How to Edit Form Cdph 8550 Online for Free

Dealing with PDF documents online is actually simple with our PDF tool. Anyone can fill in california generator registration here without trouble. FormsPal development team is constantly working to develop the editor and enable it to be much faster for clients with its handy features. Enjoy an ever-evolving experience today! Here is what you'll want to do to start:

Step 1: First, open the pdf editor by pressing the "Get Form Button" in the top section of this webpage.

Step 2: With our state-of-the-art PDF tool, you can actually accomplish more than simply fill in blank fields. Express yourself and make your docs seem high-quality with customized textual content added, or modify the original content to excellence - all that comes along with the capability to incorporate stunning photos and sign it off.

This form needs some specific details; to guarantee accuracy and reliability, be sure to consider the next guidelines:

1. When filling in the california generator registration, make sure to incorporate all needed fields in its relevant area. This will help facilitate the process, allowing your information to be processed fast and appropriately.

generator registration form writing process detailed (stage 1)

Step 3: Glance through the details you've typed into the form fields and then click the "Done" button. Get hold of your california generator registration as soon as you sign up for a 7-day free trial. Conveniently view the document within your personal account page, together with any edits and changes being automatically kept! We don't share the information you provide when dealing with forms at our website.