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nED EC <br /> RECEIVED OVED <br /> JUN 0 4 2009 <br /> JUL $ 2011 <br /> .: um?.Ute: �1 �P,-nanent I HVv _ +P��t cs=T�� ENVI <br /> �. . : stmt ENVIRONMENTAL <br /> HEALTH <br /> ENVIRONMENTAL HEALTH PERMIT/SERVICES <br /> €evictor,,CA PERMIT/SERVICES <br /> i3r-46-C> T2 <br /> DATA SHEEN ` AI` ER <br /> StmiaassWaiver <br /> Mate artd feral kiazard s Isle-iaws ti�rr=t rfe„se a':`s , C*waste,x,+iectior- grams to Inose usir+e sses i ai <br /> generate less Char'10C� kilgra€ai (F 7 gallons c7 2G `:'oQ'Ids'!Ci iiia-`'tiu 6?Mast£Pee-,10elt` . u6fY+BSaeS that t$LEaste2 rrr0-•q <br /> than this elmoun are required . b iaw is use a Licensed hazardous:haste',2;J r to`iac 1�$i and trssiscaort#Il?.ii MiF1Ste. <br /> T fere&ore, ir,order.o part€cipaf ir:ih1 S D- ram. you nusa sig; the fot4ev�:?nab�asi�er cr iiabiii4-4. '� i reserve tial right 0 e�euw <br /> your annuli rnarii?est$or MISL it With,the("outy EnvirtSnmentai Heaitt. C:epartmen Ic deterrnaFze your e}iclibi!s y for use of this <br /> pro <br /> i e:eriify the uusineiS�i'"ms t i m epj-esaa,-,-,,P.,j; t5 a('-cpa ionrai -xemj ,,_.!=al!Quantity Generator iC-ESQG)wll,)ge?erates ro <br /> Yr t41a ?0^icia^earns(2`r gal ons or 220 pounds',of hazardous waste per month based or,ori annual average and 1,tyle <br /> ri"pre s?tati o&trte CESOC: nde.rstand tl ie?s'le"1JCimurr,quantity o war aG've A at ill?:ime t�Nsposal is:�7 gallons or <br /> 220 p>Urms and anis dtspos3% 'Seo;,ncurred ss)ali ba riie res£.nsibi titti/-f°h-e CESOG vo cay at 111c^tirrfe OT di5.00saal, <br /> �..._._...__.T_.___.,...a.,--------..�... --�---•---�-----rte-- rY �' ��"rL { <br /> Do 407'WRRUTE BELOW T n7(8 i.."NE <br /> NVENTOW- <br /> '-O• :a�i)ii�!L'YSC C.Ct+�CL;C`i:pef£4r?ne:' <br /> Price Total <br /> iteAfrk <br /> tie <br /> Process-me <br /> - `iOfY}rilefi# <br /> �....w........a..�.....__ �..s.-..--...�._._-_. .ems __-__._.__.,...__. -- <br />