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Conditionally Exempt Small Quantity Generator <br />Inventory Form <br />�0 0� Stericycie` <br />i Err: ii�nci <br />CESQG Admin.: Renea R a <br />11855 White Rock Road <br />Rancho Cordova, CA 957 2 <br />Phone: 916-351-0980 x2 4 <br />Fax: 916-351-1707 <br />E-mail: renea.roa@stericycle.com <br />Company Name: re_" `iklo Se <br />Contact Name: _Re,qee. <br />Address: 39 C I tAf'j'-" 1 <br />City, State, Zip: L C4 " 95240 <br />Phone: 2(�Cj till, <br />Fax: of cl c _191-2— <br />EPA <br />'ZEPA ID # L y <br />E-mail: 6,-4 b Cin c c <br />J i Lc <br />UM <br />WASTE INVEN?ORY <br />Hazard Class <br />Container Size <br />Quantity of Container(s) <br />Total Weight <br />tio"Ke 511 <br />cS <br />*PLEASE NOTE: THE LIMIT PER APPOINTMENT IS 27 GALLONS OR 220 POUNDS OF WASTE PER <br />APPOINTMENT. <br />ALSO, YOU MAY ONLY SCHEDULE ONE APPOINTMENT PER CALENDAR MONTH. <br />