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Conditionally Exempt Small Quantity Generator <br /> Inventory Form <br /> I'D 0 <br /> Company Name: <br /> Contact Name: f�UA i,\ -��►`�`� — <br /> CESQG Admin.: Renea Roa Address: ' 3 6.J- C (o u4-,,-- u-,. y <br /> 11855 White Rock Road City, State, Zip: s��, �., Lt s a-, C <br /> Rancho Cordova,CA 95742 Phone: z) 3 cD o-3 <br /> Phone:916-351-0980 x204 Fax: ;�D 1 L 6 , 1 S3 7 <br /> Fax.916-351-1707 EPA iD# <br /> E-mail: renea.roa@stericycle.com E-mail: <br /> (t -� <br /> (fluorescent tube len lh bulb count for solid waste <br /> WASTE INVENTORY Hazard Class Container Size ctuantiyty of Container(s) Total Weight <br /> Lbs <br /> 0�L P'_s, <br /> L <br /> *PLEASE NOTE: THE LIMIT PER APPOINTMENT IS 27 GALLONS OR 220 POUNDS OF WASTE PER <br /> APPOINTMENT. <br /> ALSO, YOU MAY ONLY SCHEDULE ONE APPOINTMENT PER CALENDAR MONTH. <br />