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Illi � Ili <br /> I ill U <br /> I <br /> Bill 111 Ililll <br /> 07/03/2018 831-13530092 0002045303 <br /> pt „ ICaI WaAe TraickIngocument <br /> Route No. rRzm <br /> Cuetbmen <br /> LINC1032 N lLtmin St UV PAST ACU7E <br /> 1632 24-Hour Emergency Response (800)424-0300 <br /> StoCidal,CA 95203-3404 Customer Sewise (895)SWO392 <br /> Deaarlptlon of Waata Container Typeryo.of !b,or <br /> UN3291,Regulated Medica!Wsate,N,0,5„6.2,KII 17 GALLON(Regulated Medical Waste(oto))17.000000 gal Contglnare volume <br /> UNU91,Regulatad MetkCdl Was",N.O.&r B.2r PGA 31 GALL ON(Regulated Medical Waste(910))31.'000000 gal <br /> UN329Z, ulbted MRdkel Wa96e,N,0$„8,7e pe[t 43 GALLON(Ugulated Medical Waste(1310))43.0000D0 gal <br /> Transporter 1; Totels <br /> WM ftltlicare 6olutlorw,Inc, ,ADpilcable Permits: Iq <br /> .S <br /> 1906 I)on•L" Placp Ste.)r Egcondldo•5.698.MW-172 Phone 4: (780)489-50109 r <br /> Esmgdtdb,Cdi 92029 Vernotr 5688-Nw-157 Phone at; (323)307-0414 <br /> Transporter 1 A uvledg nt of f ®f'Moterlale ��v <br /> Signature Pr1r►t <br /> Name ® pay® L7 ® 1 <br /> rtanap Permit 0IOate { <br /> Aa <br /> Signature <br /> Print Ne ' <br /> 8u nate Padll nsfdr 21diltyDicineogo NOW n ration acil At Treab"I NdlPro I <br /> rr ^— <br /> Wf*15 Ver6on WMMEscondldo Cavan Energy Hess Services Aemerga NMPak HealtHwlr a sc�vlau <br /> Verni U0 n,CA <br /> ID 1996®on Lee Place $251 Triana 61vct9W .1420 40th 54det NDR11 Servktta 9-C.,LLC 4880 E Llncoin Av, <br /> Vernon,GR 90058 5u309'C Huntsville,AL 35665 P8r9o,ND 58102 9600 E,AvehuA Pewter,CA 93685 <br /> Phare(34 307.0514 ndrdo,CA 92029 Phare(4587 8flZ4big Phone(701)is 7373 Hasparle CA,92345 Phane(5,9)8543333 <br /> Permit M: 7VOST81 Phone(760)439-5409 Permit D:n(mtAq Permtt 0:t'1s•0203 Phoi18(760)083.28 Perm1 ;Ter Bg <br /> Permit a:TS-73- Parmlt 9:TSJOS'l'13 <br /> Si9natrre 5ignatuRSl9nawre 51tnature STgnatvra lure <br /> G�� �� DtlCo ®aCA Dater Qg� 1 <br /> I <br /> , <br /> cera Codon h)tlb ®atru on <br /> I I tryst the corRants of Ne wod cahtalmq!,s have been recslveV,boated,and <br /> �0osad or at ane 0Y moro of the(adages Indcated obooe In acmrdanee svltrl all local,ctete, <br /> and 1 reputatlonq." <br /> mm=6 <br /> JUL 0 3 201 <br /> I <br /> SUM'Healthcare Solutions <br /> 43an®idlvP9 C>a►tificuttcn:"(herQby'dedwe Mt the COnwnt6 of thle colwl ment aro nilly and accurately descrlbed abova by the proper 9hfh'ping noma.and are dao®dled,package <br /> rliaftd and 1ab4164plaCaWad,and ate In all raapactj In Proper cendltton 1o4 trar gport bytt(hftr according to applicable,IntorrIANonal anti,nettlJ1 Ml government rmgulailons,Includln9 <br /> apPllpbiestagreyuiauans," <br /> Sighatur® _ Pr p !Versa Data <br /> " <br /> 600 'd zS� [ 'IN M6ti : � 61H '0l ,add <br />