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i' i 1 Ir •' � I t <br />NOT 1' ► TO REGISTER <br />(Please Typeor <br />BUSINESS <br />Street <br />city <br />PHONE NUMBER: <br />I Am Not ReqWred To Register As A <br />(Pleaseappropriate • <br />o <br />r • not generate any me!Zrc <br />I generate less than 1/ pounf-9 of <br />.. not treat any dical w, <br />incinerating <br />I= <br />LeV71TU-1r7l <br />on& <br />of autoclaving, <br />The Appropriate Statement(s): <br />Ue <br />0 rieclare under penalty of law that to the best of knowledge and b;l <br />MY <br />• • • . • ' r r • • r • <br />as "Regulated Medical Wast& in an amountover /1 pounds per • <br />declare . - penalty of law that I will notbe - . rng any amount• <br />Wastes"edical by of •claving, incinerating, or <br />q <br />