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11 <br />This packet contains the information and forms you will need to help you comply with the <br />new Medical <br />i_ &I N-001 <br />r • ► ` ' • • f •: a''.. Trots= ►' a • 41 <br />Complete the "Pre -Application Questionnair6" on Pages 3 & 4. If your answers <br />indicate you are not required to register as a medical waste generator, then <br />complete the "Certification Statement" on Page 5 and return both completed forms <br />to the mailing address listed below. <br />a. complete the "Registration For Medical Waste form located on Pag--- <br />{•' <br />ba: complete"MedicalMan.',-all :a lI Plan! i • <br />g Lu 'dehnes pr • •'. ' • on Pages iand <br />addressc. return the completed forms and management plan to the mailin& <br />e• below. <br />is greatly appreciated. <br />If you have any questions registration or handling requirements,please•; / <br />Kasey Foleyor Donna of 1 { • 468-3427. <br />` • I U OR V to 6353t, I k 10 •`% ► • <br />Donna Heran, REHS, r • <br />Joaquingram Manager <br />San '• Public Health Services <br />Environmental• <br />PO Box 2009 <br />Stockton, CA 95201 <br />F <br />