Laserfiche WebLink
^~ -~-^`- `-- -- -~ --- — <br /> �mwmRO^wNres 00 1,1"64- <br /> R.Pwq-�w--~—' � ��� 8 <br /> Soma ro.a.ow <br /> Gumiaa NUMB GR tit)8-i 74 5-01,1 Rkkt.i T814 OMOE Teld ODAif)Eg 1614 =3Mr*N N <br /> I OLUDEA 1014 2G. KO.OF 20. VOLUME <br /> 2A.OeSCRiprom or WASTE WL COWAINEAS <br /> 82 <br /> UNS291 RNulaoi$Medical W071%11.0 V"! <br /> U0291,Fegulated Medical Waste,n.u.&, <br /> W.XT PICKUP: 612 <br /> Da <br /> Dug ""I '"'I AprAl.514 Permit Numbers; <br /> 93722 <br /> PrInIrrype Nanxi Z' V. —P'l 71 )-ca owe <br /> B.INTE;4MEDIAI'C-MANDLF.,'R2!TRAt48PORTEFIgAt)DRESS- Phone <br /> INTERMEDIATE HANDLES/TRANSPORTER CERTIFICA11ON' Reojp�of madicat wasIG likki d4341.,ritlad above. <br /> Pritit'Tpe Name Onto <br /> 7,DISCRIEPANa(iNOICATION III to Nodh&*Lak6,UT <br /> ITREATMENT FACILITY.I certify that I have been authorlZed by the applicable state aqenooy to accept untreated medical wastes and that I have <br /> iyed th,3 above inaicatecl wntes in accordance with tho mquiremem oullined'in that authorization. <br /> DMO <br /> =W,"=, rRe»ThIF-NTFACVLITv <br /> � <br /> ' <br /> l0/90 39V6 3 3113-1VS V-1 0 81:VT TI03/1T/90 <br />