Laserfiche WebLink
/ 1124) t"I1;697#�12 00019%620 . <br /> edicll Wast ,,T <br /> veirass:e�Ywsacwes sRr ' r7 k4fngQ6i Route:N 0, M67 <br /> bootee: <br /> i C1i2 CH U 24-Hour E rgeICV.Re9p66se (800)4Z,&-9300 <br /> 1221 RC15 I�IA121E LN <br /> a ria(A 95 {Y7 Customer 5eiviCe ( SOIS-0392 <br /> (20;4)`477=254 <br /> Containers Xo utete' I <br /> 08,29&Reqs#ated Medical Via %.0,s,, a.21 PG 43 GALLON <br /> (Fa utatet,.Madic'i Wastem• }) 3� �g <br /> see <br /> fo 4 !, <br /> 41tNf 4d€�a[tltcer�`5oiut4on�;7�.: <br /> gl}eat3te:P�rrn�ts. <br /> T;9 Don <br /> Co Ste.G, Esccmdt S5$8 'M1 -12 Phone#: 76€t}4n-50098swndidc:;CA.92629 <br /> vbmow.5588-Mih!1S7 Pbbrse '((323)307-0514 <br /> =TranW <br /> r` f. Plct. . <br /> s'Nariafs <br /> F <br /> M <br /> T1at1S(7oCi£�! f P$ttg73C:# Date <br /> S�gPda.�t7R'� <br /> tpdeya J rarisfer F2eit ty 1rar+sfer E atlfCs Irss ii iat ort{atlitiy I inera#lon Pacsl4y. dtsitodav�fT} t 5fei fTadlfty /Alternate`Cie3tmen F C1 ty � <br /> Wht kleaftncare'BoluEksn§>. C WNf RealUteare 5ii7utsosisJnc Curtis l,Frmrgy, GuftesC waste,sau£6o#rs, vUyM Seattle Biomedital f ' Healthwi��ry ccs <br /> 4280'6andinl Blvd 2996 Don Lee Place Suite'.0 3200'l�f Mhs Road LLC 149 5W Kenyan SDeetl 4600 E.Linccic M. <br /> VW00,.CAILq0G58 Escondfdo CA,52029Balt more,MO 21226 7505 State Hwy 55. S2attte,WA 98108 Fowler,�A 93625 <br /> Phone(323}307-0514. PhorfE:(764}4'gg$009, Phone(42D)354.322E Anahuat,:TX 77514 1�t5one(206)505-9063 Phone(559)834.3333 <br /> Permlt#: TS/05T.87 Pemnit#:TS-73 Permft# MI- <br /> :2011- 0030 Phone(409)267-3913 <br /> Permit#:PR00643* permit#:75 9 <br /> PMA#.:22394 t <br /> . tsire <br /> Sigiiattsre:.... Signature .. *rjg_e S c}a3aturk 5i <br /> L?ats - t}ate.. D <br /> : <br /> -:Dale <br /> Dlscr.Panc{ TietiirnietttfaOltviei#f?catroriv Receipt and Oestrue&ois <br /> "1:&Arfy theth2 contents of the listed contalner(s}have-beerr.r�ived,treated;aM <br /> dtsppsettafator,re or more of the facflikies intlitated above in8ecord'ance with alf:logt,state, <br /> . <br /> and fed&widWa4hq&" _ i, <br /> Comments° . <br /> fiene>abor`s i�rt} #f'war;"�hefetiyi�tlaie LFiat iha cAEttenYs af�ft5s cortstynrrr�srt are firBy erptl aaur�ety,z[eS4=Ibed 2bdve'tsy tf�proper shippir�q t�erne and"'ase ddssified PaekagQd, <br /> marked'.an I'lalleteil(pea�sd ,aod.are in,all,"respecfs.in proper condition for transport;,by tifghway agcording tp appfrcable international and national government regulations,including <br /> applicable state regulabons" <br /> Si 178. �.. :....• - ` � t .. , <br /> Prlrrtt <br />