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Non-Hazardous Waste shipping Documentation <br /> EcoSolutions a division of Stericycle Inc <br /> Yoi -Tr�V, s u <br /> W1,4)CIA, <br /> Generator Info: ,� W Acct# <br /> Waste Description #of containers Total Quantity wVVol <br /> No type <br /> Non-RCRA Waste <br /> photochemicals/photoprocessing waste DW 11 Gal <br /> Universal Waste(Dental Amalgam) <br /> containing Mercury and Aqueous Solution DW21' Gal <br /> Universal Waste (Lead foil) <br /> From Dental X-Ray unit DW03 LBS <br /> Generator Print Nam Date: <br /> Generator S' n tore; <br /> Drivers Print Name: Date: <br /> Drivers Signature: <br /> t _ <br /> For any question please Cokal ur Customer Service <br /> 1-866783-7422 <br /> RETAIN COPY FOR 3 YEARS <br /> Ln <br /> fn <br /> 0 <br /> 0 <br /> 0 <br />