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k <br /> Quantity. 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 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 facility stating whether <br /> gallons or pounds: <br /> Infectious Waste Pathological Waste Sharps <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 /> K II/ Th t-f No \?j,- 1. -lil &.5q-c=t4 <br /> Signaturycir per ar e for the fac,>i(ies) Phone Number <br /> 2,,c/•t C Y e t e,. .ra Gc vi G2 i 7 J <br /> If Title Date <br /> 5 <br />