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SA N J O A Q U I N Environmental Health Department <br /> —COUNTY <br /> Large Quantity Generator (LQG) Facility Category (defined in HSC § 117995): <br /> ❑ Acute Care Hospital <br /> ❑ Primary Care Clinic <br /> ❑ Skilled Nursing Facility <br /> ❑ Veterinary Clinic <br /> ® Other LQG <br /> I declare under penalty of law that to the best of my knowledge and belief the statements made herein <br /> are co-rlect and true. I hereby consent to all necessary inspections made pursuant to the California <br /> Medical Waste Management Act and incidental to the issuance of this registration and the operation of <br /> this business. <br /> Signature: <br /> /t1Vk-a, <br /> Narre and Title: Nikolas Corren <br /> Date: 9/3/2024 <br /> 4of11 <br />