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6-10-1997 12:d8PM FROM SJC PUBLIC HEALTH ED 209 d68 8032 P. 2 <br /> -1 W7 12:56PM PROM P.2 <br /> San Joaquin County bile Health <br /> Environmental Division <br /> Medical Waste Management <br /> LIMITED QUANTITY HAULING EXEMPTION <br /> To q a"Limited "pursuant to the"Medtal Waste Management Acr,the fdlowing <br /> condidom must be met <br /> The generator or twaM cam professional generates less than 20 pounds of <br /> Ow 24 pounds of medical waste at any to Chap 8, and the <br /> genenftr or parent n has on Me o <br /> i- Aftdical Ww&Management PIM I the generator or is a large quanW generaW or a smau <br /> quantity generator mqulmdto to ChapW 4. <br /> 2- laftma6m Dow~ if the generator or parent organization is a smal quantity generator not requiredto <br /> mister pulluant to Chapter d. <br /> FLEAM.COMPLUM THE MFORMAMON BELOW AND MAL wrn4$97 FEE TO: <br /> Safi Joaquin County PublicS*rVms <br /> Environmental <br /> Medical Waste Managementm <br /> Weber304 F Ave <br /> Stockton, <br /> HaulerWW" Waste Information <br /> Wa i f' .v501 <br /> Ld�*r— <br /> Meftal OffieNgumess5= <br /> Contact F # 7 <br /> F LICK 2=i-m Lala&) <br /> Stwap F <br /> City, 4 - - d <br /> Permitted Treatment Facility Nww.—QL#L <br /> Ore ® 3 <br /> PermftwFwAty Add <br /> Ci = SW. 4 <br /> Lat all employee names and titles authonzed to banspwt ft medoW waste if rmt woo spm ~wdOrrnaton. <br /> 2 - v r T - <br /> 3- <br /> a cW 4t • In <br /> :z <br /> Applicant Si <br /> Title.• <br /> Do Not Write Below This Line <br /> E.H.S.Application Approval: / / _- z • a" ! f_ <br /> EN45OZ 1003-" owe Paid f Cash or Check# (cirdr) <br />