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SA N J O A Q U I N Environmental Health Department <br /> COUNTY tt c I' ) <br /> Name: �1 e c C�ck c4i. <br /> Address: <br /> City State Zip Code <br /> Phone: ( ) <br /> Registration #: Ivy�)S 0 o O I I o�j ,>`-( <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: I <br /> Name: _� O �/ - c� M ctr ► or, n L <br /> Address: rO o c, E <br /> City State Zip Code <br /> Phone: 3 9 �z, - 08 30 <br /> Registration #: } ` 0 O cDu 1 (o S 3 q.3 y <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: ZI S+ cj;?-V,-+Lx" Elul IJ , L L-C. <br /> Address: 2-09 5 IJ lz-t"�(C V-jS -b Eo-5+ <br /> F�-/-n re- I-) V 5� 9 v0 <br /> City State Zili Code <br /> Phone: (1?5) 57 5 - 277C <br /> Registration #: /Q V ct 3 0 $ g S 3 3 <br /> h. Do you handle pharmaceutical waste that is classified by the federal Drug Enforcement <br /> Agency (DEA) as "controlled substances"? D(Yes ❑ No <br /> If yes, describe how the "controlled substances" are disposed: sza 1 a,r-Q- <br /> ll <br /> 4J ku.r -r� I l 0. S o ; J+z i..-)6 `HA-0 C_Or). v,<- 4.n <br /> 8 of 11 <br />