Laserfiche WebLink
MEDICAL WASTE PROGRAM �\ <br /> Business Name bfeIine c ,Ire ir]A CDrD• Phone <br /> Business Address 51-1Q 5tPu 1y'edGL Blvd <br /> City Zip 85825 <br /> Contact Person Phone <br /> Owner Phone <br /> Owner Address <br /> City Zip <br /> Program Element Code <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 />