Laserfiche WebLink
SA N 10 A Q U I N Environmental Health Department <br /> -COUNTY <br /> Medical Waste Facility Registration <br /> Facility Name: 1-)EY6 j KS G4 A4 0QA-4- 6 L PAL <br /> Facility Address: W/ /v• CALI r bKN1A' <br /> City, State, Zip Code: S Tt k- <br /> Mailing Address: CPO N• <br /> City, State, Zip Code:37c..0 --1 0/--11 <br /> Phone Number: <br /> Facility Contact and Title: A/[Wk45- <br /> Facility Registration Category: <br /> ❑ Small Quantity Generator (<200 pounds per month) with Onsite Treatment. <br /> ❑ Large Quantity Generator (>=200 pounds per month)with Onsite Treatment. <br /> 3K Large Quantity Generator(>=200 pounds per month) without Onsite Treatment. <br /> ❑ Common Storage Facility (2-10 generators) <br /> ❑ Common Storage Facility (11-50 generators) <br /> ❑ Common Storage Facility (> 50 generators) <br /> 3of11 <br />