Small quantity medical waste generator closure request | Department of Environmental Health | County of Santa Clara

Please select:

Closure

Business name

FacilityID# (FA#) or invoice number

Type of business (ex. dentistry)

Street address

City

State

Zip code

Phone

Email

Reason for closure (Please describe how the final medical waste was handled.)

Date of final closure

What NEW site address will your business be locating to? (if applicable)

For business relocation and ownership change, please ALSO submit a new application.

What new business is taking over this location?

New owner name

New owner cellphone number

New owner email address

Street address

City

State

Zip code

Billing information:

Street address

City

State

Zip code

Was this page helpful?

Yes

No

Please do not include personal information (home address, tax ID, social security number).

What was helpful about this page?

How can we improve this page?

If you need us to contact you, please provide an email address:

If this is an emergency, call 911.

To submit your feedback, please tell us what was helpful about this page.

To submit your feedback, please tell us how we can improve this page.