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SANJ O A Q U I N Environmental Health Department <br /> COUNTY <br /> Name : 0, 1 e ck C�c ck r4io, Sc_, cam[ W 0004v,_, S d / L,, Ck d y , S <br /> Address : <br /> City State Zip Code <br /> Phone : ( ) <br /> Registration # : LV s 0 o O ! l o <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 �/ - VVION, � M etc I o r N n L <br /> Address : Ll 0 � � rO o kms- r N E <br /> City State Zip Code <br /> Phone : (5 C)3) 3 9 - D8 q0 <br /> Registration # : } ` O O OC7 1 (o S 3 L/k!g 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 : Z I S+ H �M 0 , L L .G <br /> Address : ZO �G. r�clS Easy' <br /> FLS n 1 . z I� V 9 � o <br /> City State Zi Code <br /> Phone : ( 1 ? 5) 57 5 - 277 (� <br /> Registration # : /Q V ct 8 0 $ g 5" 3 <br /> 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 CJ r-Q. <br /> L ( ✓wv CL % nt, rs 5LAt p(17 � 3� ¢_r ; u f c1 C. <br /> W ku.r r�..� ! l 0. S o ; J+ Nz 1L. r is a v�� i ..-k't7 `mH&IZ Co/), �'ct ; ,n $1 . n <br /> 8 of 11 <br />