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A <br />4 Do you generate 200 or more pounds per month of <br />It the types of medical waste listed on Page 3? yes x ncL— <br />your M byautociavhig, <br />or iILII�� microwave technology? yes�_xnq__ <br />if your answers to MIC;&ns 3. 4 and are. no. then complete the <br />"Certification -Statemebf on Page 5 and return it with this questionnaire to. <br />the addiess shown at the bottom of Page 2. You do not need to complete <br />the rest ofthe forms in this package. <br />if your t - to f ;.. • •: • are pleasecompletethe"Re <br />l 1. 1 • as <br />For Medical WisW' forit -on' <br />Page 6 and submit a "medical Waste <br />. 1 •';.Ile Gi `lm!as specified on Pages ;.. <br />waste per week, transport less.than 20 pounds <br />at one time, and -have -a hauling". <br />document • 1 Me n• • 11 • 11 .: ti • '. <br />ity <br />exemption all9wsyou pr t;.♦ 1 Y. D ♦'- • :R1. t •.. <br />f •% s 1 •: p <br />ity <br />Hauling yes <br />If your answer is YOU will 'red <br />be reqw jo hire a registered hazardous <br />waste haulerto'transportyour wastefor treatmentand disposal. <br />• -answer is `nreturn Ibis i :.. a • 1 II .1 _' 1 / the- "Certiffication <br />Y. :+i! 1 on, Page to,- <br />the f:. t :w`*.. shown ."i • • and . limitedHiruling <br />Exemptiod' application -will be mailed-401JOU. <br />Biosafety.l 4 :.w. :li t 1. - :.w; •ngo• iJ. t' ' 11 •:1••1 _ <br />borne Encephalitis Vftms Complex (Ab�ettgr6%.1janzaloyA, Hypr, KunAhM Kyasanur <br />Forest D - . - • it monUgic Fever,and Russian 1 T. tf/ YI a t - •. 1 1: <br />NOTE: <br />-171 nb <br />(iup <br />9W4ane •. Pleme rdek to,the�'encloted>e a7 <br />Waste Ma nagement Ace for more specific registration/exemption information. <br />P <br />