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1 1 1!1 1 1!�II <br /> 1 I Irll <br /> IlIII I ! <br /> 2- 0002039757 <br /> Medical Waste Tracking Document Route No. TRZD7 <br /> LiNCOLN POsT ACUTt- <br /> 1032 N Uncohl St 24-Hour Emergency Response . (S60)424-9300' <br /> Stockton,CA 195-203-2409 Customer-servit* (8.5s)80e-,0392 <br /> l0e&rjPddfi of Waste EohtalgerYylle No of --ib—.'o, <br /> Containers Volume <br /> UN3291,Regulated Medical Waste,N,0.5,5.2,PM1 17 GALLQN(Regulated Medical Waste(Sio)) 17.000000 gal <br /> UN329i,Ro4ulak�dModWWaste,N,0.5.,6.2,PGI) 31 QAUDN(Regulated Medical Waste(1310))31,000000 gal <br /> 01\13291,Regulated Medical Wast®,N,C.S,,-rL2,Pr-9 43 GALLON(RLVVfated.Me4lc*1 Waste(810))43,000000 gal <br /> Transpaner is Totals <br /> WM Healdicwp Solutlom,Inc. Applicable Perroll:5; BE& <br /> 1996 Don Lae Place Sta.C Escondido-5688-MW-172 Phone 0; (760)459-509 <br /> E5condl*CA 92029 Vernon-5688--MW-157 Phone (323)307-0511 <br /> Transporter I AftwMed- <br /> Signature Print/Typed Name Date Z, <br /> waiv e. <br /> Tre ispqACtZr vennit 7 Date <br /> ads Signature <br /> Printed Mftw <br /> Aut,OdMarngkLfttfift Trahoer R <br /> Inclneratlon Fed& Ins fnqraoo!n=] Trea ent!Faitalt LIIL� 5 <br /> Process! FS <br /> \11" WMM E=ndlft CovantQ Rn"V HESI services Adnijarge RedRak Healt I')S8 services` <br /> Av, <br /> 4780 qaniflhl Brvd I goo Nil Lft Plato 525I.Terane 01wi Sw 1+20 40th Sboat North SUVIC68 s,C,, 4EQ0-.LIACOW Av, <br /> G. <br /> I <br /> C <br /> "up Nb 58202 OW E.Avenue, F"lal.,CMAO)625 <br /> P", <br /> 't <br /> tS <br /> -'Vefnont�3k 93000758 Sults.5 535)83 .333 <br /> Mani ) -OS14 Escondido,CA 92029 Phone C704 262,7373. Hevedii CA,923 5 PlIons 39)834-333 <br /> it PF <br /> Pamik ft. 7.qOV 61 Phone(760)499-Ro Pqrmit 709-1104 Permit It-..17M(120-1 phom(760)so soft P0 <br /> PernhIt 9:7SI0 15 <br /> sloature— Sliinatura Siynoture Signa re <br /> Date Data. Date Date Date Date <br /> Pdn,yreg d11 4rJlKV COrtilficatloil eN Keceip—t and Motnwkjafft <br /> I centrY ant the contents of tho llrosd can%lnet(s)hove been tocAved,treated,and <br /> c99PQ;e4 of at one or mote of the facilldosIndIcamd above In acaprdanea with oil local,State, <br /> and Ftdwcafreq!AatlarM' <br /> JUN 26 2018 <br /> WM Healthcare solutions <br /> -f!�r, r".ei CardficaVon."P1 1%retry declare that the contents of this consIgnmenLaiv ruby and,a=rately dincirlbed BDoye by tfto prow thipphig ntrna and ere dassinad,packagi! <br /> ed: abdeloaordA and are In all respects in-proWcoadlbon for vmnsportbY NOWAY according to applicable lntavldtanal and national gDvdnnnMt regillalio0s,locludiftt <br /> state regale ns" x— <br /> Ignature Pr1ntjT*pad Narns <br /> 6E/9ti 'd zS� � "N NOON 61H 'o� 'add <br />