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SA N:°J O QQ U I N Envismental Health Department <br /> COUNTY <br /> m. Describe, if medical waste is treated onsite, a closure plan for the termination of treatment, using at a minimum, <br /> one of the above referenced approved cleaning methods: <br /> All treatment equipment will be decontaminated using 500 PPM Chlorine solution <br /> I hereby certify to the best/of my knowledge and belief that the statements made herein are correct and true. <br /> Printed Name: /.S t7/�� P,y� Signature: <br /> Title: tom\�� Date: <br /> Medical Waste Program Fees <br /> Primary Care... ... ... ... ... ... ... ... ... ... ... $353.00 <br /> Acute Care... ... ... ... ... ... ... ... ... ... ... ... $658.00 <br /> Skilled Nursing Facility... ... ... ... ... ... ... $443.00 <br /> Large Generator... ... ... ... ... ... ... ... ... ... $212.00 <br /> Small Generator (with treatment)... ... ... $64.00 <br /> Common Storage Facility (2-10)... ... ... . $179.00 <br /> Common Storage Facility (11-50)... ...... $336.00 <br /> Common Storage Facility (>50)... ... ..... $600.00 <br /> Transfer Facility... ... ... ... ... ... ... ... ... ... $466.00 <br /> Veterinary Clinic... ... ... ... ... ... ... ... ... . $299.00 <br /> 8 of 8 <br />