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x/0312017 X31 11690()12 0001892654 <br /> Medical Wa lrackin"GoD� urn nt iz te No. X307 <br /> 01stomeo <br /> GLM ctA-EAU 24-Hour Eittoericy:Resjoft (800)424-#300- <br /> 1221 ltS <br /> 24-#300-1221ltS kAmlE:i 4 <br /> Stmkt ,CA 93207 Custoioor Servico (855)50.8=0332 <br /> (209)4a7-2664' <br /> _ <br /> QM6000 otWaste. Coria c�er ype.: t o-0 lb.or <br /> Cotte€vers loluriie <br /> (#?e�A-carom Waw(pfo))43_ ! t <br /> Tsang Tog is. w <br /> VVM Health e_ ofuTtott ;Iris, Appkcable:perrxfiffs: <br /> M6 t7bn 44ce Ste:G Wb"dt>:5658.,MVV--172. Phone-: : (100 484-50 <br /> Escondido;.CJ4_923 iem:rrt 56$8 X157 Phone#: {32 }3. 7 QS <br /> �'reztsporY�:��krt�v�dge>!ztef'tr t ,pt a;?�at+eraals f <br /> .. YTTe 0 . oat, 3 <br /> Pei tttati. <br /> 7�r�portie Date <br /> Address !�ture <br /> In iftd.Risme <br /> AutacCave/Frarasfe%Fac tity: lYai sfer i acf(fty Ioneration Faci ty 1nc eon.Facdlty AVtodave/7I qS*Fa itity, Afternate iliitine€it.Fae�ity <br /> Wm Heaitn Hardt ons:artc ?i i it effe 56dtmo a5.>nc 1401 Bay 6Mergy rii#west.waste Sb t oas; Wm Seattle Bromedieaf' Tiealthwtse 5eivieeS <br /> 428U Bend;',Blvd 19581 Lee Plain sta C' 3200 Hawkins Road LtC 149 SW ICenyon.5treet 48p0 E.Lincoic Av. <br /> vemon Ck 40458 Escortdrdo,CA,:521329 Ba#iinora,MD 21228 ?S055ta3�Hwy 65 SeaitJej WA 981,08. Fowler,CA 93625: <br /> Phone;(323)307.0514 Phone(780)4$4=5tit19 ghcit�(410}354 328: Anahuar;7X 77514' €hon'e.(206)505-50fi Phone(555)$343333 <br /> Perrn t# T WOST 81 Permif'#; frx73 Permit <br /> #:2011 VJMI.0036: Ptmq(409)267-3913. Permit#:PR0080378 Permit#:75$4 <br /> Penmt#.-2239-A <br /> *nature 5 atsit�. %nater <br /> swmtwe Signature SIgnattrre <br /> Date. Dace: Le, ate Fiaie [tate <br /> Discrepancy f3'catmewt Fac5lEty , <br /> Cerufiaahois of:Recerptasrd ict7ote <br /> "I certifythat theeontenls of the listed container(§)havebeen recelvod treated,and <br /> disposed of at bne or more of the ibcflities:indicated above to occordanee with.atl local,St*, <br /> and federal regrilationr. <br /> ComrnenCS <br /> Senewam6es Centi icatiath;"2 hereGy dec}a,.Ikt #i°cosi€enis oI rsxgnine�t ars f i}r and?aCU ate; mchbed above �e Proper,5ht to.name and ate dassTfied <br /> Y d .` by pp g pkk44ed,. <br /> marked and labeleit/placardedvan,are m all r2cr3 art pear ConCIiSOPt f9r�rans}�ort pyfttgttway acCoriEing to.applicable;internationar arrd national goverrmient regulations,indudfng. <br /> applicable state regulations`f , <br /> yPed <br /> -r <br />