Laserfiche WebLink
MEDICAL WASTE PROGRAMlf �l <br /> Business Name �S�ia. L&re, Phone <br /> Business Address <br /> 5 <br /> c . SaG� <br /> City Zip <br /> Contact Person /d'1 L�1PrIA�_ Tda�lJ► Phone qZ. 4q8- JC 79/ <br /> wner Phone <br /> Owner Address oo l c-a ICS xy tw� 51e. /01 <br /> City co/i w,-d Zip q q 507 c) <br /> Program Element Code 5 <br /> Record ID# <br /> Onsite Treatment? Y N (Circle) if Yes,Treatment Unit Type <br /> LQHE? Y N (Circle) <br /> MWMP in EHD file? Y N (circle) <br />