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MEDICAL WASTE PROGRAM <br /> T <br /> Business Name :�x- ie-,r VIVA -► f t)sp 1C-e— --rear-ij OSI C-P Phone <br /> Business Address 4600 Tra au 0)Vd. <br /> city i ra Cu Zip q5B7.7 <br /> ontact Person Phone <br /> caner Phone <br /> Owner Address <br /> ity Zip <br /> Program Element Code .455-7 <br /> Record ID # PIZ050732 <br /> Onsite Treatment? Y N (Circle) if Yes, Treatment Unit Type <br /> QHE? Y N (Circle) <br /> WMP in EHD file? Y N (circle) <br />