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~j-~.. <br />Cluantity. To the extent applicable to the facility, management plans must be accompanied by a <br />statement of the quantity of infectious and pathological waste generated, decontaminated, stored, <br />incinerated, or disposed of at the facility during the previous two-year period. Quantities must be <br />reported in gallons or pounds. (Minn. Stat. § 116.79, subd. 1 [d]) <br />Complete the following information for each generating tacility stating whether <br />gallons or pounds: <br />Generated (total) <br />Decontaminated on-site <br />Disposed of {sewered) <br />Stored on-site <br />(maximum at any one time) <br />Incinerated on-site <br />Disposed of <br />(transported off-site) <br />• <br /> <br />• <br />Infectious Waste pathological Waste ~harn~ <br />_____ f ~t <br />~- _1.--- <br />_~ --~ <br />_~- f ~r <br />Phone Number <br />_~/~/ `~/ <br />Date <br />5 <br />Title <br />