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SANJOAQUIN Environmental Health Department <br />COUNTY <br />m. Describe, if medical waste is treated onsite, a closure plan for the termination of treatment, <br />using at a minimum, one of the above referenced approved cleaning methods: <br />l <br />I hereby certify to the best of my knowledge and belief that the statements made herein are correct <br />and true. <br />Printed Name: 6r'a^ r n?A/ Signature: <br />Title:4M ° !%;x Date: ` '" <br />10 of 11 <br />