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11/27/2.015 831-12530092 0002100226 <br /> Medical Waste Tracking Document . <br /> Route No. TR207 <br /> Gusto mer: <br /> LINCOLN POSTACUTE 24-Hour Emergency Response (800)424-9300 <br /> 1032 N Lincoln St <br /> Si:odftn,CA 95203-2409 Customer Service (855)$08-0392 <br /> fW. <br /> Description of Ste Contalner Type No.or lb.or <br /> 07-'IZ0nq,0,.�3 containem Volume <br /> t.3291,Regulated Medical Waste,N.O.S,5Y'-P-(;i-17 GALLON(Regulated Medical Waste(Bio))17-1300000 got <br /> LIN13291,Regulated Medical Waste,K.O.S,,6-2,PGII 31 GALLON(Regulated Meclical Waste(50))31.000000 gal <br /> UN3291,Regulated Medical Waste,N.CZ,,6.2,PGII 43 GALLON(Regulated Medical Waste(131o))43_®00000Tga—r <br /> Transporter 1. Totals <br /> WM Healthcare Solutions,Inc. Applicable Permits-, <br /> 1996 Don L&!Place Ste.C Escnridido-E688-MW-172 Phone# (760)489-5009 <br /> Esctinclida,CA 92029 Vernon-5688-MW-157 Phone (323)307-0514 <br /> Transporter I A nt of Receipt of Materials <br /> signature Print/Typed Name Date <br /> Transporter Z., <br /> Permit Data <br /> Address Signature <br /> Printed Name <br /> 'Utod V rLsfar Fadll nsfer Ficilitv Incineration F&CIRY _MOnerallon Fad! AlE T 9C PracEssinarrFS <br /> V 'LSf*'F.d" A"' <br /> n <br /> W 11 V <br /> "S V <br /> �60�S.n011ll , <br /> V <br /> 4 <br /> 1":" ' �'e'N <br /> WM S 1, in V WMHS Escondido covanta Energy HEST Servlcw Aamorga Ped mcalthwise <br /> jan r I <br /> ,ervIr C <br /> 4160 5 nolAl v 1996 Clon Lee Place 52E1 Tr a Blvd SW e <br /> 1420 40th Street North Services S-C., 4600 E.U ri AV <br /> es <br /> F <br /> arrion,CA 9005$ Suite C Huntsville,AL 3-5805 Fargo,No 58IO2 '00 <br /> Phone($23)307-CS%4 9600 E.AV e Fowler,CA 936525 <br /> es �T Z9) <br /> Esconaldo,CA 9ZD79 Phone(256)862-1019 Phone(701)2SZ-7373 Hesperia CA 2245 Phone( 834-3333 <br /> 3 <br /> P&FWt#: T5/05T81 Phone(760)489-5009 Permit 4'709-1104 Permit#:FS-0203 Pnone(7.(760)983-2806 Perrnftk.TI-1-89 <br /> Permit 0-71—:73 Permitt A! ST 135 <br /> t <br /> sigg?'" signature Signature— Signature Slgnature <br /> Date Date <br /> Da Date <br /> Date Date Date <br /> Tiscrepancyenc Facel <br /> ftca ono -aI Ipt and vestry on <br /> 02rtifyttlat th e Contents of the I Isted conto Intr(i)have been fece"d,treated,and <br /> disposed of at ono or more or the radlities Indloa tea above in accordance witn all 1=1,state, <br /> and NderV regulations." <br /> .omments <br /> DEC 0 4 2018 <br /> WM HeatthicaM SOlUtIons <br /> enerames cilrtification: I Z he by declare that the contontsoft his convignment are hilly and accurately Oescrillned above by the proper shipping name and are clossilied,pacingE 1 <br /> arked Eno labeivVpJacarded,ail rt in all respects irl Propercandition.Wtransport ty highway according to opplicablelhtemationZ.1 and national government regulations,Includinc <br /> �Pplrcaola state M111'al n <br /> SUN, Ptint/TypedName V <br /> r-7-77-Tr� <br /> II <br /> 601/H 'd zS� � "N Adt� : � 6 �H 'WAV <br />