Laserfiche WebLink
fl Lf <br /> Irl! <br /> 03121/201B <br /> 831-1353002 0002063007 <br /> Medical Waste Tracldnq Document <br /> Rouse No. TR207' <br /> Customer: <br /> LINCOLN POSTACUTE <br /> 1032 N Lincoln St 24-Hour Emergency Response (800)42A-9300 <br /> Stockton,CA 9.5203-2409 <br /> Customer Service (s5�50s-0392 <br /> De5crlpffon Of Waste <br /> Container Type No.of or— <br /> UN3291,Regulatad Medical Waste,N.O-S.,6.2 containers Volume <br /> GALLON or'j'DV'IatBd Medical Waste(12110))17.000000 al <br /> Paff 17 C� <br /> 'a'ner T <br /> GALL N �l <br /> 7 0 <br /> 7 <br /> UN3291,Regulated Medical,Waste,N,0.5.,6,2,PMI 31 GALLON <br /> ON(Ilal <br /> - 12141-11L <br /> (810))31.000000 gal <br /> UN3291,Regulated Me 43 GA <br /> 0 Medical Wasta,14,04,6.2,PGIIfL-ON(Reguliated Medial Wa!;O--(810))43.000000 gni <br /> Transporter U <br /> WM Healthcare Solutions,Inc. <br /> Don Lee.Place Ste,C AP cable pffnl?ts: <br /> Escondido,CA 92029 Escondido-S688-MW-172 Phone#: g60)489-5009 <br /> Vpmon-5688-MW-157 Phone*; (323)307-0514 <br /> Transporter I A edgern itof R <br /> 0pt of rims <br /> Signature Print/Typed Name <br /> TT'a01prlsp <br /> Pe rt# <br /> Add Date <br /> Signature <br /> PrInted Name <br /> Autodav ransfer I Transfer Incineration Facill --ipL Alt Treatment facjji <br /> WM V a WMHS Escondido S <br /> ta"V <br /> 4280 ndi-ini-SW 19%Dort Lee Place C*Vbnta Energy HESI services Aamerge RadPak Heaithwise services <br /> Vernon,CA 90058 Sdf.--C 52S1 Trianq SW SW 1420 401h$6ve North Ser A=S.C.,L 4800 E.Uncotri Av. <br /> Phone 023)307-0514 Escortc1lao,CA 92029 Hmntw!fk*AL 35805 Fargo,ND 58102 9600 E.Avenue Fowler,CA 93625 <br /> Pernik#: TS/OSTSI Phone(7M 489-5009 Phone 956)802-1019. Phone 0701)282-7373 HesmU C.%9Z34 Phone 9 834 3333 <br /> Permit#.T3-73 Pafrnft 0.70-1I04 Permit 0:rMu2c3 Phone(760)983 08 Permt .TS-89 <br /> signahim— Signature ' Permit 0'7S105T L <br /> Data Date Slanature Signawre— r <br /> ata Date — are <br /> tgtrepancy <br /> reatment FaCi. '8 <br /> ' on. pto"' 'on <br /> I cartiff that the wnbWs of the r4Ud L—talner(s)have been received,treated,and <br /> Isposed of at one or moreOf the 1`aQlffles Irldimted above In accordance with all local,scate, <br /> nd federal r4gutatlons," <br /> IM <br /> AUG 23 201$ <br /> .i <br /> WHealthcare SiollitionS <br /> Generatues Cerdficasom'I hereby dedam that the contents of this rcrisignment are futty and a=rataly dew1bed above by the piroper shipping name and ar6 dassifled,padm9a <br /> marked and labele4placarded and are In all respmu in Proper condition for transport by lhiqtwy accordIng toappumble International and national government regulations,Including <br /> 305cable fttB reN(atiDns." <br /> Signature <br /> � Pr�hnit[Typed Print/Typed �1)1 <br /> Date <br /> 6WH 'd zSS � "N M : � 6lH '01 'IdV <br />