Laserfiche WebLink
San Josou,n County Permanent Htiw Collection Fac0ity <br /> 7850 South RA Btldgeford Sheet <br /> Stookmn,Co 95206 <br /> MOM 209.468.5670 <br /> Fax:20-468-5672 CESQGI?ATA 5HEET & WAMER <br /> Baahwa pttfnnattae ' <br /> my N to a prlet) •rY tan"e 1 year name r <br /> N <br /> 7 <br /> p e r5 yep ay- 9� <br /> Business Waiver <br /> State and federal hxretdouo wute laws Iltnit the use of ulna type of waste collection progrorm to those bumneasd drat <br /> SCOMte leu dtan 100 htlogmum (27 Plloea or 220 prnmdc)of hrwfts waste per month, Businessa that Qtmmtc <br /> tam than d11t attwwt aro tequised by law to use a limled hueNous waatn haolor to mtonitbet and tnatalmt tbeh <br /> lraate.Therefbts,in order to participate in i2do program,you mon slpl the ebllewln¢wdtan of liabibty. we tmill the <br /> tlgbt to rev,"Yost Mutual mr ufesta or owlell t wttb the Comty ftwonmenal Health r)epartmenx to dearmine <br /> Your <br /> nilalblhtyforUMP orthbptogr m,'Mani*yon. <br /> I ctrlty tho busteees 11111 1 am roprmaentlat to a Coaditionaaty BXMMI gmall Querity oenerstor (CB13QQ) who <br /> gm w&m no mal*0 100 Idiopmm(27 julloas or 220 pounds)of hazmlocs wasto per mohair bald oo an 111111 <br /> avmage led 1, the reprewoustive of tate CB8Q0, understand die nmdmum quanity of waste omeptad at the taro of <br /> disposal Is 27 gallons or 220 poenda and any dtapotai costa iacmmd lholi be the mspomlbility of the CBBQQ to PRY st <br /> ehe time of dlsoead. <br /> Data a Iptntsro <br /> DO NOT WRITS BELOW THIS <br /> rivEmmilty <br /> (To be completed by mllwd(Ol Pmcmn0l) <br /> (hilum Pounds a of cora. krioc Trnd <br /> O <br /> m 1 <br /> C.onntuma; <br /> Lai WdtrS:60 L0DE 62 'FEW 'CM XU--� <br />