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S O�Sb <br /> Medical Waste Tracking.Document a®ube No. TOY <br /> r y G® at <br /> ®®j 2 /lJ Z i m cr,/" roe" 24-Hour Emergents ReeponsB (800)424.9300 <br /> S'fv ck-f'on® CA 4/�J cuattamersellvicp (es5)50®o392 <br /> EUR-3291,Regulawed <br /> rm Cantaln0rtype Containers Ib.or <br /> Volume <br /> Medical Waste,N.O.S.,Q,ICI OTIRJRegulatpd Medi®I Waite(810)►D CY <br /> Transporter]is <br /> Totsls <br /> WO Healthcare 8olutione,Inc. Appil®ble Permits I <br /> 410 East Grant Une Road Escondldo-5688-M-172 Phone*I (760)469-5009 <br /> Yracy,C4 95376 Vernon-5688-MW-L57 Phone S: (329)307-0514 <br /> Transpo%Ur2Ae lodgement pf)taculp Bterleds <br /> SIgnpture A <br /> -I'dint/TypedMinii, Dole <br /> i <br /> e I <br /> Trahcpormr ®emit& DOW <br /> AddressSgnalmre <br /> Printed Name <br /> Autodave/Tnaraf'er f,'rdltty 'tYorl5tt3r Eac91M Indneratlon Facility Inclnelstlnn Padllty Autcdavgr rransfff hcliity a treatment roddollj <br /> Wm Hsalthcate Sowtionc,Inc WM He%ltt.=TQ 5clutlons,Inc Cottle Bay Energy GUL%+Qst Waste 5elregonl, WK Seattle Blomedl®I Iiealthwise SerAms <br /> 4280 Bandol BW 1996 Dat Leo PlamsultB C 3200 Mawldrs Road LLC 149 SW Kenyon Sweat 4400 E-Unmle Av. r <br /> Vernon,CA 991050 ESronAtdo,CA OU75 BaBimore,MD 21226 7505 Staff H"eu Seattle,WA 98108 Fowles,CA P3625 ' <br /> Pilon:(333)3070514 Phone(760)489.5009 Wwne(410)359-3228 APmhuecr TK 77514 Phone(206)505-9081 ne(Sig)8.34-21aty I <br /> Permit N: TWOST 61 Permlt;g:T5-73 Permit 8:7012-WM%-0036 Phone(409)267-1913 Pmnit b:PROO60378 Peft TS-99 l <br /> Permit 0:2230-A i <br /> Sgnalure Signature _ 51gnature Slonatune 5�qnature Sldnatu <br /> Date Da& 11a4c Date riiLU I <br /> Date Dai y�oO i <br /> D19crepane/ Treatment 1r11c4lltY Ce'ttfk-AUon or lRecelpe anti Deabuctlon <br /> °I certify tient the contente of the[JAW cpnpine3(5)have bcrn reqdyed,treated,end <br /> dim®sW of at ora or more at the radhlim Indicated above in acpordanm vAth all local, <br /> Sfate,and federal rujulOom,^ +,pN -/{ p <br /> Comment: JUN-V 6 2018 <br /> WM Healthcare Solutions <br /> Generawee Ceeti cation:-5creby dcclara that the cintEM or Mils conslgtm ent are lulls end aocwatdy de9vlbed 2bwe by the proper shipplrg name and are elatsffted,parkeg®d, <br /> m®rked and and are In all respects In Proper mndl0on for t ans"t by highway wading to agpllcab(e Internntlondl and national govetnntem t%ulvtom,IncludkV <br /> epplicawe 5t®te regulatlorm, <br /> SIGInature + FR*n4/7pped Name <br /> D06k <br /> 60 W/8 'd ZSR l 'IN WdOS 6l0Z '0l ,a d <br />