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SARJOAQUIN <br /> Environmental Health Department <br /> COUNTY <br /> If your answer is "Yes", you must obtain a "Common Storage Facility <br /> Permit" from this office. <br /> 4. Do you plan to treat your medical waste onsite (at your facility), by autoclaving, <br /> incinerating or using microwave technology? ❑ Yes No <br /> If you are a small generator and your answers to question 3 & 4 are "No", then <br /> complete the "Certification Statement" on Page 4 and return it with this <br /> questionnaire to the letterhead address. You do not need to complete the rest <br /> of this package. <br /> If your answer is "Yes", you must complete Pages 5-10 and return them with <br /> this questionnaire and the appropriate fee (see Page 11) to the address <br /> indicated on Page 1. <br /> 3of11 <br />