Laserfiche WebLink
10/0912018 831 13530092 0002081361 <br /> Medica' l Waste Tracking Document' <br /> .� T®RMA"MA%oQ8=—nmj=Wr Route!No. 7R207 <br /> Customer. <br /> LINCOLN POS7 ACUTE 24-Hour Emergency Response (800)424-9300 <br /> 1032 N Lincoln St <br /> Stockton,CA 9.5203-2409 CUstamer Service (SSS)508-0392 <br /> Description of Waste ContainerType No.of Tb.or— <br /> �q�ntalqers Volume <br /> UN3791,Regulated Medical Waste,N:Q-S.,6.2,PGU 17 GALLON(Regulated MedICl Waste(810))17.000000 gal <br /> UN3291,Regulated Me(lkal Waste,N-0-5.,6.2,PGII 31 GALLON(Regulated Medical Waste(Bio))31-000000 gal <br /> LIN3191,Regulated Medical Waste,N.O.S.,6.2,PGII �j3 GALLON(Regulated Med caJ Waste(Bio))43-000000 gal <br /> Transporter 1. To <br /> tals <br /> VVINI Healthcare solutions,Inc. Applicalo(a Permits: <br /> 1996 Don Lee Place Ste.C Escondido-5668-W-172 Phone J-_ (760)489-5009 <br /> Escondido,CA 92029 Vernon-5688-MW-157 Phone (323)307-0514 <br /> ITransportu I Adyqo]pAedge t a Ceipt of Materials <br /> Signature _ Print/Typed Name L <br /> Data /a, <br /> Tra nspootg_r 2/� Permit# Daft <br /> Addniisi, Signature <br /> Printed Name <br /> ALItocla grang <br /> _�r Facill Tran F86i In eratlon Facift Fntlneratlon cility <br /> WMMSvemon WMI*15 EmondIdo Covanta Energy KUM servIces AII:Tratmontl`�dl Procm9n <br /> 4280 Bandini Blvd Aem"t RedPa heshhvAse services <br /> .C_ <br /> 1996 Dan Lee Place 5251 Triana Blvd SW 1420 40th-9&Mt North i. 4800 E.Lincoln Av- <br /> Vernon,CA 90058 Suite C Services 5 <br /> a <br /> Hunisville,AL 35505 Fargo,NO 581D2 9600 E Avenu Fowler,CA 93625 <br /> Phone(323)XTOS14 Escondido,CA 92029 Phone(256)892-1019 Phone(701)282-7373 Hesperia 9 45 Phone 3 <br /> A�jj <br /> Permit 9; 7S/05T81 Phone(760)489-5009 PermitV,709-1104 Permit*--rr$-020,� Phone(760) <br /> Permit 0:TS 73 3-2808 TE-89 <br /> 51gribturv— signature Permit*,TS/0 135 <br /> Signature— Signature Signature Sl <br /> Date Date I Date — I Data Date Date <br /> RodPa' ho'"se ServIc" <br /> tsercpencv <br /> "C_, 48"E Unco'n Av- <br /> v�m. Pow'er'C',g36,5 <br /> (760) 3.2808 <br /> 345 Phont(5�9)8��3 -3 <br /> _2808 T5_89 <br /> TVO 13_ <br /> Sl <br /> Fea ent BaeilrEy. CHOn of ftcslipt and Destrtiction <br /> I cerGfythat the contents or tha listed contalflat($)have been rece(Y0,bested,and <br /> Ispased of at one or more of ma r4cilities indicated ab*yt in accordance wim all Io®L state, <br /> and federal regulations." <br /> al <br /> xmment <br /> OCT 0 9 2013 <br /> `althcaee Solutions <br /> Generator's Ceftlificatlon-T hereby declare that the contents of this consignment are fully aml accurately dewrlbed above by the prdper shipping name and are classffled,paomg� <br /> rnarkM and labeleqpIac.3rd!4#nd are in all respects In Proper condition fur transport by highway according to applicable International and national!government regulations,Includinc <br /> applicable ante ego tt r S. <br /> Signature <br /> 11 PfintfTypadNameae <br /> /IV -16 1. Elate <br /> 600 'd zS� [ "N M : � 6 [H '0 [ '1dV <br />