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    MAJÁRIA PERES DIAS ALINE QUEIROZCLAUDIANE RODRIGUES SILVA

    HÊNIO FABRÍCIO RAMOS

    GERENCIAMENTO DE RESÍDUOS DO SERVIÇO DE SAÚDE: CLASSIFICAÇÃO,COLETA E TRANSPORTE

     

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    SUMÁRIO

    INTRODUÇÃO 77777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777;>

    OBJETIVO7777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777;?

    CAPÍTULO I GERENCIAMENTO DOS RESÍDUOS DO SERVIÇO DE SAÚDE7777777;@

    CAPÍULO II COLETA E DOS RESÍDUOS DE SERVIÇO DE SAÚDE77777777777777777777777;

    CAPÍTULO III A COLETA DOS RESÍDUOS DE SAÚDE QUANTO A

    CLASSIFICAÇÃO77777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777777

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    3

    1. INTRODUÇÃO

    O $%1'1 &%+- #/% +/!/!1')*', /)+'&')+')*' +% 3-' '(*'!0!')+%7 C%1 /((%, 2'!#1')*', !( &'((%!( 0!'1 ! %#'*! ('#'*/4! &!! 3-' %

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    4

    2. OBJETIVO

    O 2'')/!1')*% +%( RSS &'1/*' &'('4! ! (!+' &"#/! ' !

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    '/2)/!( #'2!/(, +'(+' % 1%1')*% +' (-! 2'!56% !*. ! (-! +'(*/)!56% 0/)!#7 A

    ('2'2!56% +%( RSS, )% 1%1')*% ' #%!# +' (-! 2'!56%, &'1/*' '+-/ % 4%#-1'

    +' '(+-%( &'/2%(%( ' ! /)/+)/! +' !/+')*'( %-&!/%)!/( +')*' %-*%(

    "')'0/%( (!+' &"#/! ' !% 1'/% !1"/')*'7 E/(*' ! )''((/+!+' +'+/(&%)/"/#/! /)0%1!5K'( *.)/!( !%( '(*!"'#'/1')*%( +' (!+', !((/1 %1% !%(

    26%( +' 4/2/#8)/! (!)/*/!, (%"' !( *.)/!( !+'3-!+!( +' 1!)'% +%( RSS,

    ('- 2'')/!1')*% ' 0/(!#/!56%7

    CAPITULO I – GERENCIAMENTO DOS RESÍDUOS DO SERVIÇO DE SAÚDE

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    O 2'')/!1')*% +%( RSS %)(*/*-/9(' '1 -1 %)-)*% +'

    &%'+/1')*%( +' 2'(*6%, !)'!+%( ' /1'1')*!+%( ! &!*/ +' "!('( /')*0/!(

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    '(*!"'#'')+% !( +/'*/'( +' 1!)'% +%( RSS7

    1.1 O QUE É RESÍDUO DO SERVIÇO DE SAÚDE

    O( '(+-%( +% ('4/5% +' (!+', *!1".1 %)$'/+% %1% #/%

    $%(&/*!#!, (6% 0%1!+%( &% -1! (./' +' '(+-%( 3-' (6% 2'!+%( )%(

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    '(*%( +' 1'+/!1')*%(, 0!(%(, !#2-1!( (-"(*8)/!(, %1%: !'*%)!, 1'*!)%#,

    /#')% ' %-*%(7

    1.2 PROGRAMA DE GERENCIAMENTO DE RESÍDUOS DO SERVIÇO DE SAÚDE

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    O PGRSS ! (' '#!"%!+% +'4' (' %1&!*4'# %1 !( )%1!(

    #%!/( '#!*/4!( %#'*!, *!)(&%*' ' +/(&%(/56% 0/)!# +%( '(+-%( 2'!+%( )%(

    ('4/5%( +' (!+', '(*!"'#'/+!( &'#%( 26%( #%!/( '(&%)(4'/( &% '(*!( '*!&!(7

    1. MANEJO - O 1!)'% +%( RSS . ')*')+/+% %1% ! !56% +' 2'')/! %(

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    +/(&%(/56% 0/)!#, /)#-/)+% !( ('2-/)*'( '*!&!(:

    1.1 SEGREGAÇÃO 9 C%)(/(*' )! ('&!!56% +%( '(+-%( )% 1%1')*% ' #%!# +'

    (-! 2'!56%, +' !%+% %1 !( !!*'(*/!( 0(/!(, 3-1/!(, "/%#2/!(, %

    ('- '(*!+% 0(/% ' %( /(%( ')4%#4/+%(7

    1.2 ACONDICIONAMENTO 9 C%)(/(*' )% !*% +' '1"!#! %( '(+-%( ('2'2!+%(,

    '1 (!%( %- '/&/')*'( 3-' '4/*'1 4!!1')*%( ' '(/(*!1 ( !5K'( +'

    &-)*-! ' -&*-!7 A !&!/+!+' +%( '/&/')*'( +' !%)+//%)!1')*% +'4' (' 

    %1&!*4'# %1 ! 2'!56% +//! +' !+! */&% +' '(+-%7

    1. IDENTI!ICAÇÃO 9 C%)(/(*' )% %)-)*% +' 1'+/+!( 3-' &'1/*' %'%)$'/1')*% +%( '(+-%( %)*/+%( )%( (!%( ' '/&/')*'(, 0%)'')+%

    /)0%1!5K'( !% %'*% 1!)'% +%( RSS7

    1." TRANSPORTE INTERNO - C%)(/(*' )% *!(#!+% +%( '(+-%( +%( &%)*%( +'

    2'!56% !*. #%!# +'(*/)!+% !% !1!')!1')*% *'1&%/% %- !1!')!1')*%

    '*')% %1 ! 0/)!#/+!+' +' !&'(')*!56% &!! ! %#'*!7

    1.# ARMA$ENAMENTO TEMPORÁRIO - C%)(/(*' )! 2-!+! *'1&%/! +%('/&/')*'( %)*')+% %( '(+-%( !%)+//%)!+%(, '1 #%!# &/1% !%( &%)*%( +'

    2'!56%, 4/(!)+% !2/#/! ! %#'*! +')*% +% '(*!"'#'/1')*% ' %*/1/! %

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    %#'*! '*')!7 N6% &%+' (' 0'/*% !1!')!1')*% *'1&%/% %1 +/(&%(/56%

    +/'*! +%( (!%( (%"' % &/(%, (')+% %"/2!*/! ! %)('4!56% +%( (!%( '1

    '/&/')*'( +' !%)+//%)!1')*%7

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    1.% TRATAMENTO - C%)(/(*' )! !/!56% +' 1.*%+%, *.)/! %- &%'((% 3-'

    1%+/0/3-' !( !!*'(*/!( +%( /(%( /)'')*'( !%( '(+-%(, '+-/)+% %-

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    &!! % *!)(&%*' ')*' % '(*!"'#'/1')*% 2'!+% ' % #%!# +% *!*!1')*%7 O(

    (/(*'1!( &!! *!*!1')*% +' '(+-%( +' ('4/5%( +' (!+' +'4'1 (' %"'*% +'

    #/')/!1')*% !1"/')*!#, +' !%+% %1 ! R'(%#-56% CONAMA )W7 >X

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    O "')'0/% +! %'*! #!((/0/!56% +%( '(+-%( +' ('4/5%( +'

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    ('1 %0''' /(%( !%( *!"!#$!+%'(, (!+' %#'*/4! ' !% 1'/% !1"/')*'7

    D' !%+% %1 % M!)-!# +' G'')/!1')*% +' R'(+-%( +' S'4/5%

    +' S!+' ! #!((/0/!56% +%( '(+-%( +' ('4/5% +' (!+' 4'1 (%0')+% -1

    &%'((% +' '4%#-56% %)*)-%, 1'+/+! 3-' (6% /)*%+-/+%( )%4%( */&%( +'

    '(+-%( )!( -)/+!+'( +' (!+' ' %1% '(-#*!+% +% %)$'/1')*% +%

    %1&%*!1')*% +'(*'( &'!)*' % 1'/% !1"/')*' ' ! (!+', %1% 0%1! +'

    '(*!"'#'' -1! 2'(*6% ('2-! %1 "!(' )%( &/)&/%( +! !4!#/!56% '

    2'')/!1')*% +%( /(%( ')4%#4/+%( )! (-! 1!)/&-#!56%7

    2.1 CLASSI!ICAÇÃO DOS RESÍDUOS DE SAÚDE QUANTO O TIPO

    O( '(+-%( +% ('4/5% +' (!+' (6% #!((/0/!+%( '1 *( */&%(, %(

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    • R*+,/+ *+5*3060+4  )'((! #!((/0/!56% ')%)*!19(' %( !+/%!*/4%(%1&%(*%( &% 1!*'/!/( +/4'(%( '&%(*%( !+/!56%, '(+-%( 0!1!-*/%(,

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    • R*+,/+ 7*860+ / 3/9+4 )'((! #!((/0/!56% ')%)*!19(' %( 1!*'/!/(

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    2.2 CLASSI!ICAÇ:ES DOS RESÍDUOS DO SERVIÇO DE SAÚDE QUANTO O

    GRUPO

    2.2.1 G85/ A - R*+,/+ P/;*306

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    9 R'(+-%( +' (!)'!)*'(, +'(/)0'*!)*'( '(+-%( %)*')+% 1'*!/( &'(!+%(

    '!2')*'( &!! #!"%!*/%, /)#-(/4' %( '/&/')*'( %)*!1/)!+%( &% '(*'(7

    9 E0#-')*'( +' &%'((!+%'( +' /1!2'1 '4'#!+%'( ' 0/!+%'(7

    9 E0#-')*'( +%( '3-/&!1')*%( !-*%1!*/!+%( -*/#/!+%( '1 !)#/('( #)/!(

    9 D'1!/( &%+-*%( %)(/+'!+%( &'/2%(%(, %)0%1' #!((/0/!56% +! NBR

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    12

    2.2. G85/ C - R*+,/+ R60/6;0=/+

    Q-!/(3-' 1!*'/!/( '(-#*!)*'( +' !*/4/+!+'( $-1!)!( 3-' %)*')$!1

    !+/%)-#+'%( '1 3-!)*/+!+'( (-&'/%'( !%( #/1/*'( +' /(')56% '(&'/0/!+%( )!(

    )%1!( +% CNEN ' &!! %( 3-!/( ! '-*/#/!56% . /1&&/! %- )6% &'4/(*!7

    9 E)3-!+!19(' )'(*' 2-&% %( ''/*%( !+/%!*/4%( %- %)*!1/)!+%( %1

    !+/%)-#+'%(, &%4')/')*'( +' #!"%!*/%( +' !)#/('( #/)/!(, ('4/5%( +'

    1'+//)! )-#'! ' !+/%*'!&/!, ('2-)+% ! '(%#-56% CNEN9=7;@7

    2.2." G85/ D - R*+,/+ C/9+

    R'(+-%( 3-' )6% !&'(')*'1 /(% "/%#2/%, 3-1/% %- !+/%#2/% (!+' %- !%

    1'/% !1"/')*', &%+')+% (' '3-/&!!+%( !%( '(+-%( +%1//#/!'(7

    9 &!&'# +' -(% (!)/*/% ' 0!#+!, !"(%4')*'( $/2/)/%(, &'5!( +'(!*4'/( +'

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    +' 4')#/('(, '3-/&% +' (%% ' %-*%( (/1/#!'(7

    9 (%"!( +' !#/1')*%( ' +% &'&!% +' !#/1')*%(

    9 '(*% !#/1')*! +' '0'/*/%

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    13

    9 '(+-%( &%4')/')*'( +!( '!( !+1/)/(*!*/4!(

    9 '(+-%( +' 4!/56%, 0#%'(, &%+!( ' !+/)(

    9 '(+-%( +' 2'((% &%4')/')*'( +' !((/(*)/! (!+'

    2.2.# G85/ E - R*+,/+ P*88/3/8;6;*+

    M!*'/!/( &'0-%%*!)*'( %- '(!/0/!)*'(, *!/( %1%: L81/)!( +' "!"'!,

    !2-#$!(, '(!#&'(, !1&%#!( +' 4/+%, "%!(, #/1!( ')+%+)*/!(, &%)*!(

    +/!1!)*!+!(, #81/)!( +' "/(*-/, #!)'*!( *-"%( !&/#!'( 1/%&/&'*!( #81/)!( '

    #!1)-#!( '(&*-#!( ' *%+%( %( -*')(#/%( +' 4/+% 3-'"!+%( )% #!"%!*/%

    &/&'*!(, *-"%( +' %#'*! (!)2-)'! ' !!( +' P'*/ ' %-*%( (/1/#!'(7

    CAPÍTULO III - COLETA DOS RESÍDUOS DE SERVIÇO DE SAÚDE

    E/(*' -1! )%1! *.)/! &!! ! %#'*! /)*')! ' '*')! +%( RSS

    ('2-)+% !( )%1!( +! ABNT 3-' 0/! %( &%'+/1')*%( '/24'/( (%" %)+/5K'( +'

    $/2/')' ' ('2-!)5!7 N! !/!56% +'(*! N%1! . )''((/% %)(-#*!:P%*!/! >7

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    14

    NBR @;; 9 S1"%#%( +' /(% ' 1!)-('/% &!! % *!)(&%*' '

    !1!')!1')*% +' 1!*'/!# 9 S/1"%#%2/!

    NBR = 9 E1&'2% +! (/1"%#%2/! &!! % *!)(&%*' %+%4//% +'

    &%+-*%( &'/2%(%( \ P%'+/1')*%

    NBR Y

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    15

    &%'((%( 3-' 4/''1 ! (' 4!#/+!+%( &!! ! %"*')56% +' '+-56% %- '#/1/)!56% +!

    !2! 1/%"/!)!• R'(+-%( &%4')/')*'( +' !1&!)$! +' 4!/)!56% ' !*/4/+!+' +' 4!/)!56%

    '1 ('4/5% &"#/% +' (!+', 3-!)+% )6% &-+''1 (' (-"1'*/+%( !% *!*!1')*%'1 ('- #%!# +' 2'!56%, +'4'1 (' '%#$/+%( ' +'4%#4/+%( ( S''*!/!( +'

    S!+' '(&%)(4'/( &'#! +/(*/"-/56%, '1 '/&/')*' 2/+%, '(/(*')*' &-)*-!,

    -&*-! ' 4!!1')*%, %1 *!1&! ' +'4/+!1')*' /+')*/0/!+%, +' 0%1! ! 2!!)*/ %

    *!)(&%*' ('2-% !*. ! -)/+!+' +' *!*!1')*%7• R'(+-%( '(-#*!)*'( +! !*')56% (!+' +' /)+/4+-%( %- !)/1!/(, %1

    (-(&'/*! %- '*'! +' %)*!1/)!56% "/%#2/! &% !2')*'( %1 '#'48)/!

    '&/+'1/%#2/! ' /(% +' +/(('1/)!56% %- !-(!+% +' +%')5! '1'2')*' 3-' ('

    *%)' '&/+'1/%#%2/!1')*' /1&%*!)*' %- -% 1'!)/(1% +' *!)(1/((6% ('!

    +'(%)$'/+%: D'4'1 (' (-"1'*/+%( ! *!*!1')*% !)*'( +! +/(&%(/56% 0/)!#7•  A 1!)/&-#!56% '1 !1"/')*' #!"%!*%/!# +' &'(3-/(!, ')(/)% %- !((/(*)/!

    +'4' ('2-/ !( %/')*!5K'( %)*/+!( )! &-"#/!56% +% M/)/(*./% +! S!+' 9

    D/'*/'( G'!/( &!! % T!"!#$% '1 C%)*')56% %1 M!*'/!# B/%#2/%,

    %'(&%)+')*' !%( '(&'*/4%( 1/%2!)/(1%(: D'4'1 (' !%)+//%)!+%( '1

    (!% 4'1'#$% ' /+')*/0/!+%(7 D'4'1 (' (-"1'*/+%( ! *!*!1')*% -*/#/!)+%9('

    &%'((% 0(/% %- %-*%( &%'((%( 3-' 4/''1 ! (' 4!#/+!+%( &!! ! %"*')56% +'

    '+-56% %- '#/1/)!56% +! !2! 1/%"/!)!7 A&( % *!*!1')*%, +'4'1 (' 

    !%)+//%)!+%( +! ('2-/)*' 0%1!: S' )6% $%-4' +'(!!*'/!56% 0(/! +!(

    '(*-*-!(, +'4'1 (' !%)+//%)!+%( (!% "!)% #'/*%(%7• B%#(!( *!)(0-(/%)!/( %)*')+% (!)2-' %- $'1%%1&%)')*'( ''/*!+!( &% 

    %)*!1/)!56% %- &% 1 %)('4!56%, %- %1 &!% +' 4!#/+!+' 4')/+%, ' !3-'#!(

    %/-)+!( +' %#'*! /)%1'*! (%"!( +' !1%(*!( +' #!"%!*/% %)*')+% (!)2-'

    %- #3-/+%( %&'%(, '/&/')*'( ' 1!*'/!/( '(-#*!)*'( +% &%'((% +' !((/(*)/! (!+', %)*')+% (!)2-' %- #3-/+%( %&'%( )! 0%1! #/4': D'4'1 (' 

    (-"1'*/+%( ! *!*!1')*% !)*'( +! +/(&%(/56% 0/)!#7 D'4'1 (' !%)+//%)!+%( '1

    (!% 4'1'#$% ' /+')*/0/!+%(7 D'4'1 (' (-"1'*/+%( ! *!*!1')*% -*/#/!)+%9('

    &%'((% 0(/% %- %-*%( &%'((%( 3-' 4/''1 ! (' 4!#/+!+%( &!! ! %"*')56% +'

    '+-56% %- '#/1/)!56% +! !2! 1/%"/!)! ' 3-' +'('(*-*-' !( (-!(

    !!*'(*/!( 0(/!(, +' 1%+% ! (' *%)!'1 /'%)$'4'/(7 O *!)(&%*' +'4' (' 

    '1 '/&/')*' 2/+%, '(/(*')*' &-)*-!, -&*-! ' 4!!1')*%, %1 *!1&! &%4/+!

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    16

    +' %)*%#' +' 0'$!1')*% ' +'4/+!1')*' /+')*/0/!+%, +' 0%1! ! 2!!)*/ %

    *!)(&%*' ('2-% !*. ! -)/+!+' +' *!*!1')*%7

     A( "%#(!( +' $'1%%1&%)')*'( %)*!1/)!+!( &%+'6% *' ! (-! -*/#/!56%

    !-*%/!+! &!! 0/)!#/+!+'( '(&'0/!( *!/( %1% ')(!/%( +' &%0//)/! '

    %)0'56% +' &%+-*%( &!! +/!2)(*/% +' -(% /) 4/*%, +' !%+% %1 R'2-#!1')*%

    T.)/% ! (' '#!"%!+% &'#! ANVISA7 C!(% )6% ('! &%((4'# ! -*/#/!56% !/1!,

    +'4'1 (' (-"1'*/+!( ! &%'((% +' *!*!1')*%7

     A( (%"!( +' !1%(*!( +' #!"%!*/% %)*')+% (!)2-' %- #3-/+%( %&'%(,

    &%+'1 (' +'(!*!+!( +/'*!1')*' )% (/(*'1! +' %#'*! +' '(2%*%(, +'(+' 3-'

    !*')+!1 '(&'*/4!1')*' !( +/'*/'( '(*!"'#'/+!( &'#%( 26%( !1"/')*!/(,

    2'(*%'( +' '-(%( $+/%( ' +' (!)'!1')*% %1&'*')*'(7

    GRUPO A2

    • C!!5!(, &'5!( !)!*1/!(, 4('!( ' %-*%( '(+-%( &%4')/')*'( +'

    !)/1!/( (-"1'*/+%( ! &%'((%( +' '&'/1')*!56% %1 /)%-#!56% +'

    1/%%2!)/(1%(, "'1 %1% (-!( 0%!5K'(, ' %( !+4''( +' !)/1!/( (-(&'/*%(

    +' (''1 &%*!+%'( +' 1/%2!)/(1%( +' '#'48)/! '&/+'1/%#2/! ' %1 /(%

    +' +/(('1/)!56%, 3-' 0%!1 (-"1'*/+%( %- )6% ! '(*-+% !)!*%1%&!*%#2/% %-%)0/1!56% +/!2)(*/!: D'4'1 (' (-"1'*/+%( ! *!*!1')*% !)*'( +! +/(&%(/56%

    0/)!#7 D'4'1 (' /)//!#1')*' !%)+//%)!+%( +' 1!)'/! %1&!*4'# %1 % &%'((%

    +' *!*!1')*% ! (' -*/#/!+%7 Q-!)+% $%-4' )''((/+!+' +' 0!/%)!1')*%, '1

    0-)56% +% &%*' +% !)/1!#, ! !-*%/!56% +% 26% +' (!+' %1&'*')*' +'4'

    %"/2!*%/!1')*' %)(*! +% PGRSS7• R'(+-%( %)*')+% 1/%2!)/(1%( %1 !#*% /(% +' *!)(1/((/"/#/+!+' ' !#*%

    &%*')/!# +' #'*!#/+!+' +'4' (' (-"1'*/+%, )% #%!# +' 2'!56%, ! &%'((% 0(/% %-

    %-*%( &%'((%( 3-' 4/''1 ! (' 4!#/+!+%( &!! ! %"*')56% +' '+-56% %-

    '#/1/)!56% +! !2! 1/%"/!)! ' &%(*'/%1')*' ')!1/)$!+%( &!! *!*!1')*%

    *.1/% &% /)/)'!56%,+'4'1 (' *!*!+%( -*/#/!)+%9(' &%'((% 0(/% %- %-*%(

    &%'((%( 3-' 4/''1 ! (' 4!#/+!+%( &!! ! %"*')56% +' '+-56% %- '#/1/)!56% +!

    !2! 1/%"/!)!, '1 '3-/&!1')*% %1&!*4'#7 O *!*!1')*% &%+' (' '!#/!+% 0%!

    +% #%!# +' 2'!56%, 1!( %( '(+-%( )6% &%+'1 (' ')!1/)$!+%( &!! *!*!1')*%

    '1 #%!# '*')% !% ('4/5%7 A&( % *!*!1')*% +%( '(+-%( '(*'( &%+'1 (' 

    ')!1/)$!+%( &!! !*'% (!)/*/% #/')/!+% %- #%!# +'4/+!1')*' #/')/!+% &!!

    +/(&%(/56% 0/)!# +' RSS, %- ('&-#*!1')*% '1 '1/*./% +' !)/1!/(7

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    Q-!)+% ')!1/)$!+%( &!! +/(&%(/56% 0/)!# '1 !*'% (!)/*/% #/')/!+%, +'4'1

    (' !%)+//%)!+%( '1 (!% "!)% #'/*%( ' /+')*/0/!+%( ' ! /)(/56% +' PEÇAS

     ANAT]MICAS DE ANIMAIS7

    GRUPO A

    • P'5!( !)!*1/!( 1'1"%( +% (' $-1!)% &%+-*% +' 0'-)+!56% ('1

    (/)!/( 4/*!/(, %1 &'(% 1')% 3-' @;; 2!1!( %- '(*!*-! 1')% 3-' @

    ')*1'*%( %- /+!+' 2'(*!/%)!# 1')% 3-' ; ('1!)!(, 3-' )6% *')$!1 4!#% 

    /')*0/% %- #'2!# ' )6% *')$! $!4/+% '3-/(/56% &'#% &!/')*' %- ('-( 0!1/#/!'(7

     A&( % '2/(*% )% #%!# +' 2'!56%, +'4'1 (' ')!1/)$!+%( &!!:

    I 9 S'&-#*!1')*% '1 '1/*./%, +'(+' 3-' $!! !-*%/!56% +% 26% %1&'*')*' +%

    M-)/&/%, +% E(*!+% %- +% D/(*/*% F'+'!# %-

    II 9 T!*!1')*% *.1/% &% /)/)'!56% %- '1!56%, '1 '3-/&!1')*% +'4/+!1')*'

    #/')/!+% &!! '((' 0/17

    S' 0%'1 ')!1/)$!+%( &!! (/(*'1! +' *!*!1')*%, +'4'1 (' !%)+//%)!+%( '1

    (!% 4'1'#$% ' /+')*/0/!+%( ' ! /)(/56% PEÇAS ANAT]MICAS7

    O 26% !1"/')*!# %1&'*')*' )%( E(*!+%(, M-)/&/%( ' D/(*/*% F'+'!# &%+'

    !&%4! %-*%( &%'((%( !#*')!*/4%( +' +'(*/)!56%7

    GRUPO A"

    • /*( +' #/)$!( !*'/!/(, ')+%4')%(!( ' +/!#/(!+%'( 0/#*%( +' ! ' 2!('(

    !(&/!+%( +' '! %)*!1/)!+! 1'1"!)! 0/#*!)*' +' '3-/&!1')*% 1.+/%9

    $%(&/*!#! ' +' &'(3-/(!, ')*' %-*%( (/1/#!'( (%"!( +' !1%(*!( +' #!"%!*/% '

    ('-( '/&/')*'( %)*')+% 0''(, -/)! ' (''5K'(, &%4')/')*'( +' &!/')*'( 3-'

    )6% %)*')$!1 ' )'1 ('!1 (-(&'/*%( +' %)*' !2')*'( 3-' !&'(')*'1'#'48)/! '&/+'1/%#2/! ' /(% +' +/(('1/)!56%, %- 1/%2!)/(1% !-(!+% +'

    +%')5! '1'2')*' 3-' (' *%)' '&/+'1/%#%2/!1')*' /1&%*!)*' %- -%

    1'!)/(1% +' *!)(1/((6% ('! +'(%)$'/+% %- %1 (-(&'/*! +' %)*!1/)!56%

    %1 &%)( *'/+% !+/&%(% &%4')/')*' +' #/&%!(&/!56%, #/&%'(-#*-! %- %-*%

    &%'+/1')*% +' /-2/! (*/! 3-' 2'' '(*' */&% +' '(+-% '/&/')*'( '

    1!*'/!/( '(-#*!)*'( +% &%'((% +' !((/(*)/! (!+', 3-' )6% %)*')$!1

    (!)2-' %- #3-/+%( %&'%( )! 0%1! #/4' &'5!( !)!*1/!( 26%( ' *'/+%( '%-*%( '(+-%( &%4')/')*'( +' &%'+/1')*%( /2/%( %- +' '(*-+%(

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    '1"!#!2'1, ')0!3-'')+% %- +'*'/%!)+% ! 1'(1!, %- ! &%((/"/#/+!+' +' 3-' %

    1!*'/!# +! '1"!#!2'1 ('! &'1'4'# !%( %1&%)')*'( +% '(+-%7• O( '(+-%( #3-/+%( +'4'1 (' !%)+//%)!+%( '1 '/&/')*'( %)(*/*-+%(

    +' 1!*'/!# %1&!*4'# %1 % #3-/+% !1!')!+%, '(/(*')*'(, 2/+%( ' '(*!)3-'(,%1 *!1&! %(3-'!+! ' 4'+!)*', ' (' /+')*/0/!+%(7• O( '(+-%( (#/+%( +'4'1 (' !%)+//%)!+%( '1 '/&/')*'( +' 1!*'/!#

    2/+%, !+'3-!+%( &!! !+! */&% +' (-"(*8)/! 3-1/!, '(&'/*!+!( !( (-!(

    !!*'(*/!( 0(/%93-1/!( ' ('- '(*!+% 0(/%, ' /+')*/0/!+%(•  A( '1"!#!2')( ('-)+/!( )6% %)*!1/)!+!( &'#% &%+-*% +'4'1 (' 

    0/(/!1')*' +'(!!*'/!+!( ' !%)+//%)!+!( &%+')+% (' ')!1/)$!+!( &!!

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    (' (-"1'*/+!( ! *!*!1')*% &.4/% )% &&/% '(*!"'#'/1')*%7• O( '(+-%( +' &%+-*%( ' +' /)(-1%( 0!1!-*/%(, (-'/*%( ! %)*%#'

    '(&'/!# +'4'1 !*')+' #'2/(#!56% (!)/*/! '1 4/2%7• O( '4'#!+%'( -*/#/!+%( '1 !+/%#%2/! &%+'1 (' (-"1'*/+%( ! &%'((% +'

    )'-*!#/!56% &!! !#!)5!'1 &H ')*' ' Y, (')+% &%(*'/%1')*' #!)5!+%( )!

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    '(*!"'#'/+!( &'#%( 26%( !1"/')*!/(, 2'(*%'( +' '-(%( $+/%( ' +'(!)'!1')*% %1&'*')*'(7• O( 0/!+%'( -(!+%( '1 !+/%#%2/! &%+'1 (' (-"1'*/+%( ! &%'((% +'

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    P", C+1/% C+ ' M'/%H2 ' ('-( %1&%(*%(, +'4' (' 0'/*% +' !%+% %1 !

    R'(%#-56% CONAMA )W7 @X

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    #/')/!+!( &!! '(*' 0/17 O( '(+-%( #3-/+%( +'(*' 2-&% +'4'1 ('2-/ 

    %/')*!5K'( '(&'0/!( +%( 26%( !1"/')*!/( #%!/(7• O( '(+-%( %)*')+% M'/% H2 +'4'1 (' !%)+//%)!+%( '1

    '/&/')*'( (%" ('#% +^2-! ' ')!1/)$!+%( &!! '-&'!56%7• R'(+-%( 3-1/%( 3-' )6% !&'(')*!1 /(% (!+' %- !% 1'/% !1"/')*':

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    '-*/#/!56%, '-&'!56% %- '/#!2'1, +'4'1 (' ')!1/)$!+%( &!! (/(*'1!( +'

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    .1. GRUPO C

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    #/1/*' +' '#/1/)!56%, '1 %)0%1/+!+' %1 ! )%1! NE 9 =7;@ +! CNEN7 O( ''/*%(

    !+/%!*/4%( )6% &%+'1 (' %)(/+'!+%( '(+-%( !*. 3-' ('! +'%/+% % *'1&% +'

    +'!/1')*% )''((/% !% !*/)2/ +% #/1/*' +' '#/1/)!56%7• O( ''/*%( !+/%!*/4%( (#/+%( +'4'1 (' !%)+//%)!+%( '1 '/&/')*'( +'

    1!*'/!# 2/+%, 0%!+%( /)*')!1')*' %1 (!% (*/% '(/(*')*' ' /+')*/0/!+%(7

    O( ''/*%( !+/%!*/4%( #3-/+%( +'4'1 (' !%)+//%)!+%( '1 0!(%( +' !*. +%/(

    #/*%( %- '1 "%1"%)!( +' 1!*'/!# %1&!*4'# %1 % #3-/+% !1!')!+%, ('1&'

    3-' &%((4'# +' (*/%, '(/(*')*'(, 2/+%( ' '(*!)3-'(, %1 *!1&! %(3-'!+!,

    4'+!)*', !%1%+!+%( '1 "!)+'!( +' 1!*'/!# /)3-'"4'# ' %1 &%0-)+/+!+'

    (-0//')*' &!! %)*', %1 ! +'4/+! 1!2'1 +' ('2-!)5!, % 4%#-1' *%*!# +% ''/*%,

    ' /+')*/0/!+%(7

    • O( 1!*'/!/( &'0-%%*!)*'( %)*!1/)!+%( %1 !+/%)-#+'%(, +'4'1 (' 

    +'(!*!+%( ('&!!+!1')*', )% #%!# +' (-! 2'!56%, /1'+/!*!1')*' !&( % -(%,

    '1 '/&/')*'( '(*!)3-'(, 2/+%(, %1 *!1&!, +'4/+!1')*' /+')*/0/!+%(, (')+%'&'((!1')*' &%/"/+% % '(4!/!1')*% +'(('( '/&/')*'( &!! % ('-

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    '!&%4'/*!1')*%7 A( !2-#$!( +'(!*4'/( +'4'1 (' +'(&'!+!( -)*!1')*' %1

    !( ('/)2!(, (')+% &%/"/+% '')!&9#!( %- &%'+' ! (-! '*/!+! 1!)-!#1')*'7• I+')*/0/!56%: O G-&% C . '&'(')*!+% &'#% (1"%#% /)*')!/%)!# +'

    &'(')5! +' !+/!56% /%)/!)*' '1 *-#%( +' 0-)+% !1!'#% ' %)*%)%( &'*%(,!'(/+% +! '&'((6% REJEITO RADIOATIVO,

    O( '/&/')*'( &!! %( 1!*'/!/( &'0-%%*!)*'( %)*!1/)!+%( %1 !+/%)-#+'%

    +'4'1 ''"' ! /)(/56% +' ^PERFUROCORTANTE ' ! /)(/56% REJEITO

    RADIOATIVO7

    .1." GRUPO D

    • D'4'1 (' !%)+//%)!+%( +' !%+% %1 !( %/')*!5K'( +%( ('4/5%( #%!/(+' #/1&'! -"!)!, -*/#/!)+% (!%( /1&'1'4'/(, %)*/+%( '1 '/&/')*'( '

    ''"' /+')*/0/!56%7

    O( !+4''( +' !)/1!/( &%+'1 *' !%)+//%)!1')*% ' *!)(&%*' +/0'')/!+%(,

    +' !%+% %1 % &%*' +% !)/1!#, +'(+' 3-' (-"1'*/+%( !&%4!56% &'#% 26% +'

    #/1&'! -"!)!, '(&%)(4'# &'#! %#'*!, *!)(&%*' ' +/(&%(/56% 0/)!# +'(*' */&% +'

    '(+-%7

    I+')*/0/!56%: P!! %( '(+-%( +% G-&% D, +'(*/)!+%( '/#!2'1 %-'-*/#/!56%, ! /+')*/0/!56% +'4' (' 0'/*! )%( '/&/')*'( ' )%( !"/2%( +' 2-!+! +'

    '/&/')*'(, -(!)+% +/2% +' %'( ' (-!( %'(&%)+')*'( )%1'!5K'(, '

    (1"%#%( +' */&% +' 1!*'/!# '/#4'# :

    I 9 !-# 9 PAPIS

    II9 !1!'#% 9 METAIS

    III 9 4'+' 9 VIDROS

    IV 9 4'1'#$% 9 PLÁSTICOSV 9 1!%1 9 RESÍDUOS ORG_NICOS

    • P!! %( +'1!/( '(+-%( +% G-&% D +'4' (' -*/#/!+! ! % /)! )%(

    '/&/')*'(7 C!(% )6% '/(*! &%'((% +' ('2'2!56% &!! '/#!2'1, )6% '/(*'

    '/2)/! &!! ! &!+%)/!56% +' % +'(*'( '/&/')*'(7

    S6% !+1/((4'/( %-*!( 0%1!( +' ('2'2!56%, !%)+//%)!1')*% ' /+')*/0/!56%

    +%( '/&/')*'( +'(*'( '(+-%( &!! 0/)( +' '/#!2'1, +' !%+% %1 !(

    !!*'(*/!( '(&'0/!( +!( %*/)!( +' !+! ('4/5%, +'4')+% '(*! %)*'1!+!(

    )% PGRSS7

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    .1.# GRUPO E

    • O( 1!*'/!/( &'0-%%*!)*'( +'4'1 (' +'(!*!+%( ('&!!+!1')*', )%

    #%!# +' (-! 2'!56%, /1'+/!*!1')*' !&( % -(% %- )''((/+!+' +' +'(!*', '1

    '/&/')*'(, 2/+%(, '(/(*')*'( &-)*-!, -&*-! ' 4!!1')*%, %1 *!1&!,

    +'4/+!1')*' /+')*/0/!+%(, (')+% '&'((!1')*' &%/"/+% % '(4!/!1')*% +'(('(

    '/&/')*'( &!! % ('- '!&%4'/*!1')*%7 A( !2-#$!( +'(!*4'/( +'4'1 (' 

    +'(&'!+!( -)*!1')*' %1 !( ('/)2!(, 3-!)+% +'(!*4'/(, (')+% &%/"/+%

    '')!&9#!( %- &%'+' ! (-! '*/!+! 1!)-!#1')*'7

    O 4%#-1' +%( '/&/')*'( +' !%)+//%)!1')*% +'4' (' %1&!*4'# %1 ! 2'!56%

    +//! +'(*' */&% +' '(+-%7

    • O( '(+-%( +% G-&% E, 2'!+%( &'#%( ('4/5%( +' !((/(*)/! +%1//#/!,

    +'4'1 (' !%)+//%)!+%( ' '%#$/+%( &'#%( &&/%( !2')*'( +' !*')+/1')*% %-

    &% &'((%! *'/)!+! &!! ! !*/4/+!+' ' ')!1/)$!+%( !% '(*!"'#'/1')*% +' (!+'

    +' '0')/!7 O( '/&/')*'( +'4'1 '(*! /+')*/0/!+%( %1 (1"%#% /)*')!/%)!# +'

    /(% "/%#2/%, !'(/+% +! /)(/56% +' PERFUROCORTANTE ' %( /(%(

    !+//%)!/(, 3-1/% %- !+/%#2/%7

    O !"/2% +'4' (' /+')*/0/!+% ' '(*/*% !%( 0-)/%)/%( +% 2'')/!1')*% +''(+-%(, *' 0/# !'((% &!! %( '/&/')*'( +' *!)(&%*' ' &!! %( 4'-#%(

    %#'*%'(7 O( '/&/')*'( +' *!)(&%*' /)*')% )6% &%+'1 *!)(/*! &'#! 4/! &"#/!

    '*')! '+/0/!56% &!! *''1 !'((% !% !"/2% +' '(+-%(7

    O !"/2% +' '(+-%( +'4' (' +/1')(/%)!+% +' !%+% %1 % 4%#-1' +' '(+-%(

    2'!+%(, %1 !&!/+!+' +' !1!')!1')*% %1&!*4'# %1 ! &'/%+//+!+' +'

    %#'*! +% (/(*'1! +' #/1&'! -"!)! #%!#7 O &/(% +'4' (' '4'(*/+% +' 1!*'/!#

    #/(%, /1&'1'4'#, #!44'# ' +' 0/# $/2/')/!56%7 O 0'$!1')*% +'4' (' %)(*/*-+%+' !#4')!/! '4'(*/+! +' 1!*'/!# #/(%, #!44'# ' +' 0/# $/2/')/!56%, %1 !"'*-!(

    &!! 4')*/#!56%, +' +/1')(6% '3-/4!#')*' !, )% 1)/1%,

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    CAPÍTULO IV - TRANSPORTE DOS RESÍDUOS DE SERVIÇO DE SAÚDE

    O *!)(&%*' %)(/(*' )% *!(#!+% +%( '(+-%( +%( &%)*%( +'

    2'!56% !*. % #%!# +'(*/)!+% !% !1!')!1')*% *'1&%/% %- !1!')!1')*%

    '*')% %1 ! 0/)!#/+!+' +' !&'(')*!56% &!! ! %#'*!7 O( %)*/)''( 14'/(

    &%((-'1 +/0'')*'( !&!/+!+'( ' (6% -*/#/!+%( )% *!)(&%*' +%( RSS )% /)*'/% 

    +! -)/+!+' $%(&/*!#!7 D'4' (' '!#/!+% !*')+')+% %*'/% &'4/!1')*' +'0/)/+% '

    '1 $%/%( )6% %/)/+')*'( %1 ! +/(*/"-/56% +' %-&!(, !#/1')*%( '1'+/!1')*%(, &'%+%( +' 4/(/*! %- +' 1!/% 0#-% +' &'((%!( %- +' !*/4/+!+'(7

    O( (!%( +' #/% %1 '(+-%( +' ('4/5%( +' (!+' !1!/( +'4'6% (' +'/!+%(

    '1 %'+%'(, *!)(&%*!+%( '1 !"'*% %- !!(*!+%( &'#% $6%7 O( '/&/')*'(

    &!! *!)(&%*' /)*')% +'4'1 (' %)(*/*-+%( +' 1!*'/!# 2/+%, #!44'#,

    /1&'1'4'#, &%4/+% +' *!1&! !*/-#!+! !% &&/% %&% +% '3-/&!1')*%, !)*%(

    ' "%+!( !'+%)+!+%(, ' (''1 /+')*/0/!+%( %1 % (1"%#% 'X%- %'(

    %'(&%)+')*'( !% /(% +% '(+-% )'#'( %)*/+%(7 D'4'1 (' &%4/+%( +' %+!('4'(*/+!( +' 1!*'/!# 3-' '+-! % -+%7 O( '/&/')*'( %1 1!/( +' ?;; L +'

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    !&!/+!+' +'4'1 &%((-/ 4#4-#! +' +')% )% 0-)+%7 Q-!)+% )6% '(*/4''1 (')+%

    -*/#/!+%(, %( %)*/)''( +'4'6% &'1!)'' 2-!+!+%( )% !"/2% '*')% %- )%

    !"/2% /)*')%7 D'4' (' '!#/!+% ('1 '(0%5% ''((/4% %- /(% +' !/+')*' &!! %

    0-)/%)/%7 O -(% +' '/&/')*'( +'(&%4/+%( +' %+!( '3-' 3-' ('!1

    '(&'/*!+%( %( #/1/*'( +' !2! &'1/*/+%( &!! % *!)(&%*' &'#%( *!"!#$!+%'(,

    %)0%1' )%1!( '2-#!+%!( +% M/)/(*./% +% T!"!#$% ' E1&'2%7 D'4' (' 0'/*%

    ('&!!+!1')*' ' '1 '/&/')*'( '(&'0/%( &!! !+! */&% +' '(+-% 3-' &%+'1

    (' %#'*!+%( ' *!)(&%*!+%( )% 1'(1% !% -*/#/!+% )! %#'*! +%( '(+-%( +%

    2-&% E7 O '3-/&!1')*% %1 %+!( &!! % *!)(&%*' +' ''/*%( !+/%!*/4%(, !#.1

    +!( '(&'/0/!5K'( !)*'/%'(, +'4' (' &%4/+% +' '/&/')*' %1 (/(*'1! +'

    "#/)+!2'1, %1 *!1&! &!! !%1%+!56% +' (!%( +' ''/*%( !+/%!*/4%(, +'4')+%(' 1%)/*%!+% ! !+! %&'!56% +' *!)(&%*' ' (' (-"1'*/+% +'(%)*!1/)!56%,

    3-!)+% )''((/%7 I)+'&')+')*'1')*' +' ('- 4%#-1', )6% &%+' &%((-/ 4#4-#!

    +' +')!2'1 )% 0-)+%7 O( '/&/')*'( %)*')+% '(+-%( +% 2-&% D +'4'1 (' 

    %#'*!+%( ' *!)(&%*!+%( ('&!!+!1')*' +%( '(+-%( +%( %-*%( 2-&%(7 P!! %

    *!)(&%*', &%+' (' % 1'(1% !%, +'(+' 3-' )6% 1/(*-' ! 0!56% '/#4'#

    %1 ! 0!56% ''/*%7

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    #. CONCLUSÃO

    O( '(+-%( +% ('4/5% +' (!+' (6% #!((/0/!+%( ' /+')*/0/!+%(

    &!! 1'#$% 1!)'% ' &%*'56% +% $%1'1 ' +% !1"/')*'7 G!)$!!1 +'(*!3-' #'2!#

    )% /)/% +! +.!+! +'

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    REFERÊNCIAS

    >;;[email protected]@@.690;/8003/.3/9.8?

    >;;[email protected]@@.*+;/586;03/.3/9.8?

    >;;[email protected]@@.=06++;*;6=*;;54??5/8;6

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