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N <br /> 05/15/2018 031-13930092 DQ02037318 <br /> w ava.a m®c+a=aaenT® <br /> 'Medical waste Tra&jjlg Document Roubg No. TR207 <br /> Customer. <br /> LN Pig(ZIiE <br /> 1032 N Urcoln SC 24-Hour Emergency Respp'tse (800)424-9000 <br /> 1032 <br /> 1 <br /> R%tvn,CA 95203-2409 Customer Service (®5;5'508-0392 <br /> ®eccriPtion of Wa9m Corner rd0.d lb.or <br /> Containers Volume <br /> UN3291,R�ulated Medical Wa5re,N.O.S.,6.2,pPGl7 17 GALLON(Re0ulated Natal Waste(ePo))17.000000 gai <br /> j <br /> 11N3791,RaDuiated Medical Waste,N.O-S-,6.2,p(',11 31 GALLON(RegulH�d medical Waste(810))3t.0000W gal <br /> UN3291,Regrd�Medlml Waste,N.O,S.,6.2,poll 43 GALLON(RegulatPa Mall®I Waste(81o))43.000000 gal <br /> Yrana}toMear 1r 'totals <br /> WM Healthcare Wutbns,lac Applicable Pamftt <br /> 1996 Dan tee Place See a Escondido-b -NW-172 phone 6': (760)489.5009 <br /> Escondldo,CA 92029 Vornon-5588-MW-L,j Phone 4: (323)307.0514ov <br /> ) <br /> TcanspertKr 1 AratYl eMCTIt i Mh;9terlaPa <br /> Sl®native Printmped Nome vx / Dam — .57 <br /> ° Peiltae Dat® j <br /> Add <br /> 9iotr®turr i <br /> I <br /> Printed Name <br /> Awwa tl'Fxfll Facal ra8lonFta9rt hxlnva FBC�RtTrmetmontFaca <br /> WMH3 Verrrn VJMNS eTAna100 Cavon to FAergV HER stmats Acrn g R bd?bk <br /> 92a0 0mttnl blvd �'9 tledlthv,h�5qn laa <br /> 1996 Don IP.B Mace 4Sf 7➢18rw 01vd sW 14)20 4001 Street Nath serviM3 S,C,Ile '1600 E Urawtin Av. <br /> VCrn a 23 X07- Su=m C HuAbdv,A4 35805 Carpo,ND 56102 9600 E AvCnuo War,CA 99615 <br /> Phony(329)9 WOST PhamEs=I(7,) 92028 pnwe(250)082-)019 FhCne(701)292-7373 lieiporia W2395 Phc 59)934.3333 <br /> PemJt e; t`irOSr Bt Pwmlt p9D)4695008 Pvmlt i;704-1160 Permit a_>'f5�O109 vrvxn(750)08!-zeas <br /> i�mh d:T'5-73 <br /> PemYt v.Tgasr 185 <br /> S'n2rutwe 9gnaWra 9lanatvrp 99nattae 9anehae: Slgnap, <br /> Data palm I Daba Dete Date <br /> ` DMW <br /> rn55tm0ntFA4WftVCetthflmtlenorReWpttindoa=aalan <br /> 4 MMIV that the mnLerU Or Che knifed mnvintr(4)have been rec m d,uvated,and <br /> MspMd or atone ar m"t arthe Fadlldea In'11=0 8boae In a®rdanct wkh bll Iasi,scalp, <br /> mmra� IYiH <br /> 4)d(Rdertl icytdadons.` M A y Q <br /> 1 <br /> WM He61thcare Solutions <br /> 6enera0ot'p�tttfleaPbn:'71x2lsydedarptt�NemntenlsApCN5mn31pr1meegor99U61Yand BxuraWyd@mjbedabovebVVq00Weh Pkgnam*and aredesMed,0gyB2A. ' <br /> mda zd aria labeled/ptatatcled,aria are In all ne!peXr In Vm* Pu mtetdoa fort1a11e00rt bV WONvay wcoraing Inetglrmble Ir iaretlaml and natlonal9a emment reguiaaons�{rdLialno. <br /> app110418 aLalPr�lt7ttons•' �' <br /> �gnatvre PrintMped Namo ' �Y Y� On <br /> HAS 'd ZS�l '°N WdOS : � 61H '00dd <br />