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11/08/2018 831-13530092 <br /> 0002092224 <br /> Me*dicalWaste Tracking Document Route No, TR207 <br /> Customen <br /> LINCOLN POST ACUTE 24-Hour Emergency Pilespon.5e (800)424-9300 <br /> 1032 N Lincoln St <br /> Stockton,CA 95203-2409 <br /> Customer Service (15155)508-0392 <br /> Descriptlon of Wade Container Type No.of 1b.or <br /> Containers Volum <br /> UN329L Regulated Medical Waste,N,O.S.,6.2,P6U 17 GALLON(Regulated Medical Waste(Bio))17,000000 gal <br /> UN3291,Regulated Medical Waste,N-O.S.,6.2;PGIX 31 GALLON(Regulated Medical Waste(gio))'31.000000 gal <br /> UN3291,Regulated Medical Waste,N.O.S.,6.2,PAT 43 GALLON(Regulated Medical Waste(Bio))43-000000 gal <br /> Transporter 1, Totals <br /> WM Heaithcare Solutions,Inc. Applicable Permits: <br /> 1996Don Lee Place Ste.C Escondido-5688-MW-172 Phone (760)48.ci-5009 <br /> �ii2� <br /> Escondido,16A 92029 Vernon-5688-MW-157 Phone*L (32-3)307-0514 <br /> i2lztTransporter I int of Rewipt of Muterlals <br /> 0 - <br /> puolr�ee I, Print/Typed Name 'Isgah'! Date <br /> Transporter 2. Permit V Dime <br /> Address Signature <br /> Printed Marcie <br /> AvIDdRra F�adll Traafer Facility Incineration Fidlity Alt Treatment Facility sln <br /> --?I� gtFFS <br /> I Indne - <br /> Wmi-Isvemoh WmHS Escondido Cava nta Energy HESI Services Aerrierge kedPak �4- <br /> 4200 Bandini Blvd 1996 Don Lee Place MITMana Blvd SW 1420 40th Sleet North Servioes&C,LIC 4800 E.UnColn Av <br /> Vernon,CA 90058 Suite C Huntsville,AL 35805 Fargo,ND 58102 9600 E.Avenue Fowler,CA 93625' <br /> Phone(323)307-0514 Psconflldo,CA 92029 Phone(2SO 532-1019 Phone MI) Q 7373 Hesperia r-A,97.345 Phone(559)834-3333 <br /> Permit*: TS/OST 6j Phone(760)489-5009 Permit#!70-1104 Permit 4:ns-043 Phone(700)983-28Q8 Permit t-TS-99 <br /> Permit 0,TS-73 Permit#-.TSIOST 13S <br /> Signature- Signature 6ign3turc- 519natum Signature Slpn <br /> Date Data Date Date Date Date <br /> 50crEpaacy Tr-eatmerlt FaCility Cson or Recaipf ZWBa on <br /> �x certify that the contents of the RAM contalner(5)have been received,treated,and <br /> disposed of at one or more of the facilities Indicateci above In accordance with all 1=1,statiz, <br /> federal reguiatlon&' <br /> -)7mments NOV 13 2018 <br /> VYM Healthcare Solutions <br /> Ganerator's Cer6 ti ere that Zha conbmts of this consignment are fulfy and accurvftly described above by the proper shipping name and int classified,packag4m <br /> arked and labale a da I e p In proper condition far transport by highway according to OPPOcable International and national government regulations,including <br /> applic4blestateregu ns <br /> k. <br /> igna <br /> ........ Print,/ ed Name G �-'_LjoarDa 1% <br /> 60WH 'd ZSRl "N NdLti : � 6lR 'E ' cid <br />