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FROM TRI VALLEY 0 0 1 FAX N0. : 209 957 7866 c. 08 2000 05:59PM P2 <br /> nu- VL <br /> San Joaquin County Publ,c Health 5ervic;as <br /> �rrvlronmentaf health Divisfor. <br /> Medial Waste Management Program <br /> APPLICATION FOR A LIMITED QUAN-nTY HAULING EXMPTION <br /> ®o 2tfi� for a"L'rnitac€ 4uaz;cty MuLdIng ExamcdQn. pursuant to the [Was.&amu'*"n Mt AC.", he folloorng <br /> conditions must he met <br /> The g&Pwrator or health pre pmfessionsi generatm less ftn Z ;our&$of medics!W=8 par WOOK Mnspars less <br /> Shen 20 ;*unds of medical wast at any one#itrse, rnWntajRg a crc#lr;g d=mwt purss:ent to Chapter a. and oe <br /> generator or parert org;14*xstaan Inas on lie one of sh 'otlow€ng: <br /> I- Metlipl Wait UQnagemeat Plan if the gemerftr arpsmt otgarnaadan s i tMe qua lly A r dr a smolt <br /> quarttfty gene=r ragcerod to MgWW pWzmnt to Chaptar 4. <br /> 2 InfOrm41604 D4 M*4t If the werkor Cr P uManizzlion Is a small qusntiiy garcamtor not moulred to <br /> reglow pumwt to Chapter 4. <br /> PUME!OCIMPLEM THE INFORMATION BELOW AND VAIL WtrH U7 FEE To, <br /> San Joaquin COUnty Public HWIth SOrvkft <br /> Erivironmentat Health Division <br /> Medical Waste Management Program <br /> 304 E Weber Ave <br /> Stcckien, CA 06202 <br /> •® - — - w <br /> Medical Waste Haujor Infamaticn <br /> !D Now M RawAml <br /> Medical Ofloe/Susiness Nance. TRI-VALLEY HOLE HEALTH CARE lac. <br /> Medfcal Off--WBUSIness Ad 37 West YQ%Uts Ave. Shite_ <br /> City: Stoc �bi •A - p CgQetr <br /> Comas A±rsen: Necsta T. Tri cera-Adm`rs' Pham t Zncl..g.53-0708 <br /> ,al <br /> staraga Fa®sty Natrie: TRI-VALLEY HOME HEALTH C F IN <br /> Stmge FaCfllty Amoss: 3 7 est k= A suite C:--2. � <br /> Stockton S <br /> P*mi 'Yr ertt FecIly Name: Integrated Environmental S stems Norcal WA§te Systei <br /> ariIttitOed TfGlIt7a7iL ruc�31l3r At: nc. _ Hi h St. #499 <br /> City'. Oakland n <br /> twist au areptay,"Rtes arts., bUe-M is linimpan tho maemal i*MISW, if nrr Msriiipli W= i1w Loft . <br /> �- N : Necita Triquero-RN 711* Orn do Guerzo-RN <br /> 2. Nacrne: Madonna Pi2RIS r Arl n dela Cr - V - <br /> 3- Na-*: Alice O_ 1z i_n-rVN Titfw An ie a Ma i-7 V <br /> Dawn Sanders--LVN Eliza Wilson-RN Comfort Mat d ' -LV <br /> A ffi'itsls oxen and�tiaeklAg ehaft br let St VA wlJsk t�nsp In <br /> N <br /> ad stt cipi®s st Mwiaat te4 twos on or vara ' : <br /> AppieC�stY Si�rsattetre; �` ,� <br /> iTrie: A.dmtini8trat rC. <br /> 00 Not W. BelowThis Cine . <br /> 2...H.S.Applic�ticn Apptgva1: •�,Z,{ / �xplsst�cts Mata. r <br /> ares02 bo:a ^aFd �i 1C7 is or cedeX, tCtrd� <br />