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SANJ O A Q U I N Environmental Health Department <br /> — <br /> --COUNTY--- <br /> Name: Ill, t 4f, (122 <br /> Address: <br /> City State Zip Code <br /> Phone: ( ) <br /> Registration #: <br /> f. Name, address and phone number of offsite treatment facility where biohazardous (excluding <br /> pharmaceutical waste) and sharps waste is transported for treatment, if different than the <br /> hauler: <br /> Name: 1�,�"lC'Ilx^�K� pja <br /> Address: <br /> N `fin 4 �nu5 - <br /> City State Zip Code <br /> Phone: <br /> Registration #: <br /> g. Name, address and phone number of offsite treatment facility where pharmaceutical waste is <br /> transported for treatment, if different than the pharmaceutical waste hauler: <br /> Name: �aC m — <br /> Address: <br /> City State Zip Code <br /> Phone: ( ) <br /> Registration #: <br /> In. Do you handle pharmaceutical waste that Is classified by the federal Drug Enforcement <br /> Agency (DEA) as "controlled substances"7% Yes ❑ No <br /> If yes, describe how the "controlled substances" are disposed: -(1hen-A7 <br /> `� r �,. <br />