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A%J U A Q U IN Environmental Health Department <br /> ----COUNTY----- <br /> 11. Operator Certification <br /> I declare under penalty of law that to the best of my knowledge and belief the information provided in the <br /> Medical Waste Management Plan is complete and accurate. <br /> Signature: <br /> Name and Title: CI ( - <br /> Date: <br /> 11 of 11 <br />