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.............. <br /> 07/10/2018 031.13530092 <br /> 0002047722 <br /> Medical Waste Tricking Document Route No. rR207 <br /> CUStOMP'. <br /> LINCOLN POST ACUTE <br /> 1032 N UnCoin St 24-Hour grnwgency Response (800)424-9300 <br /> Stockton,CA 95203-2409. <br /> Cu mer Service (85�508-0392 <br /> Description of Waste Container Type No.of 1b.or <br /> UN3Z91,Regulated Medical Wade/N.O.S.,6.2,pGjj 17 GALLON(Regulated Medca,l <br /> Waste(810))17.000000 gal Containers Volume <br /> UN3291,Regulated Medical Waste,N.O.S.,6,2,PGJJ 31 GALLON(Regulated Medical Wade(810))31.00000()gal <br /> LIN3291,Regulated Medical Waste,N.O.S,,6.7,PGH 43 GALLON(Regulated Medical Waste(Blo))43.000000 gal <br /> Transporter 1; <br /> Totals <br /> WM Healthcare Wudons,Inc. <br /> 1996Don Lee Place Ste.C Applicable Permits. <br /> Escondido,CA 92o2g Escondido-5688-MWq72 phone#: (76D)489_5009 <br /> Vernon-5688-MW-157 Phone (323)3070511 <br /> Transporter I AC edg nt ejpt of Materials <br /> Signatupe Prlr#VIVped Name <br /> bate <br /> Trarispo 2- <br /> n's <br /> Add Permit <br /> 5 Date <br /> Signature <br /> Printed Name <br /> Autoday raneerFaciij Trans racll <br /> ff"", <br /> M"I" <br /> WMI-is Vernon WMHS Fscondldo Alt atrnent Fcl Mcesslil FS <br /> Escondido <br /> rj <br /> 1996 PI" <br /> .4Z80 8andini Blvd 1996 Don Lee Plage Covanta Energy HESI Swl= Aerreri)d RedPak Healthwlse Services <br /> Vernon,CA 0058 Sulte C 5251 Titan Blvd SW 1420 40th Street North SeNces S.0 <br /> To 6� M HUntsvlii%AL 35BOB Fargo,NO S$102 _'LLC 4800 E.Uncoln Av. <br /> Phone(323)3or7-0511 EscDnindo,ICA 92029 96DO E,Avan FoWer,CA 93625 <br /> P-mir 4��50og <br /> . T/ - Phone(256)u8i-joig Lo <br /> rmir 01 TS/OST a I Phone(/60)48g�-5009 Phone(701)262-7373 Hesperia CkSZ34S Phone(55P)1134-�3333 <br /> Permit'4;7s-73 Peftlt#.1 70g-1101 Peftit 4:rl`9-0203 Phone(760)g83-2a0 TS-199 <br /> 519haNre. Signature Penult-#:MOST 135 <br /> Date DatESrBnature Signature Signature- signa <br /> Date Date <br /> Dare ®ate <br /> Isorepancy <br /> 11151 <br /> that tile I 1:21t 311 pt and DesbuC 079 <br /> contents of the listed contarnet(s)have bwrf received,treated,and <br /> 10059d of at OF)e or more oftihe kdIlties indicated above in a=rdance wi$all local, <br /> nd federal regulations." state, <br /> cropan <br /> cy <br /> 10 <br /> 373 <br /> JUL 102016 <br /> WM Healthcare solutions <br /> rGencrabor's CerH(katlorm"I hereby declare that the contents of thig consignment a,e d accurat;ly described above by the Proper shipping name and are classified,package <br /> marked and labeladlipiamrded,and are in all respects In proper condlVan for warkspolt b Pully <br /> an <br /> PPlIcable state regulatjorz.,, y highway according to applicable IntannatIonRl and national government r6gulaft s,including <br /> Signature Print/Typed Name <br /> into <br /> 60l/�ti "N M6ti : 0 6IN '01 " dV <br />