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W26/22011 1092658 <br /> w. r wsi.ar ,rr�.vT 11 411.Waste`1`racki ng11 ent Roatte No. TR307 <br /> r4GfRiCHATE#U: 24-"aur.EM-eirgen l po (800)42 3OO <br /> 12n RF TE lei <br /> SWCktotl,CA 95,207 ar, ce (855):.5 Vq2 <br /> (k§)A77-2664 <br /> t5iesciipt36ts0 wa3rte mer'i* <br /> Ne:of tls.or <br /> Goatainers Volume <br /> tlP f 31 :l2egulato Medi�ai-Waste;90 s:,5�,PGII 43 GALLON(k2e"b�1fiedica3 Waste(t�pj)s40a[ <br /> rser9r Utars <br /> wM F#ealEtti e,Sofukiatjs;.IrrC. Rp)�itcabCe.Petmits; <br /> 199b.aor7 t:e£.i�are e.'G. Esaind[tio 5588-M-177- Pb6h6.#..:( 60}9WSt <br /> Escondido,(".A;i� � Mill ion-� MW-157 Ft;t*;k (323)307.0514: <br /> "t"ranspoter-i_,��+�wi tof, . af'NEa'ie #� <br /> iop%ttlre f < r king. rtLe Date <br /> tMax►sprsrt+ G PenTO—# 'Date: <br /> Address' <br /> PrFt►.tw Name <br /> Autiicave :ralSrerFaciltty, TrarisferFatllitjl Irscmerttlon,kacility Inan t nRcitlty #(utociave�lrgnsrer*Ifity #3t�matelrQatmentFacitiily <br /> UtMtS fic�a SO1 Aor.;$:c S�tlut,!eelthcare I'll"itar it c. >urtYs:B y�rt�?i3f 3utfwest;Waste Sdiopons, WM SeaUte 11:111-, <br /> tc3rie cai -fico thvnse;5eivttffi <br /> �i280 E andii l.6lvtF 1996'boe..1 Pla[ Suit . `3200 HavAlKs"RoAd LLC 145 5W Kenyori Street. 4800'E.Un'MIC AV- <br /> Vetnan,'23)3.'Z <br /> A 90058 EK-10i%{_A 92M Sattnno ai' a 2:9226 75t3S. dKe fiery 6S:'. Sea e,WA 98108: Fowler,CA 93625' <br /> Phone(323)367QSi4 F,oc 7 ).484 09' FhMe.(�10)354-3ZZ8 /�qv—TX 77514 Phone P06}5059063 Phone{55.�}834-3333 <br /> Ferrn7t#:•'?5[OSt'8.1 # rmit;#: CS 73 Permit#:2Q13-WMI-t103F Fo (jg}267-3923 P whit#:PROD80370 Feirmlt#:,7S-89' <br /> Peitriit' <br /> O.'2230-A.Sitature: goaFu .Prgnature Signaturew_ tAiiafure <br /> Date tate. _ l Ikte Date Date, <br /> Fr-w <br /> "P certify that the 6 nts gf-ifle 1isEed coritainer(5}baue beets.rel e&ed,tr4+atedt ani}disposed of at one or more of thefac!hies indicated above:MatWrdan6 wlth aT€local,sem, <br /> and federal're'gulatlon&" <br /> tst <br /> S iistatsir's ce M4300M,'14ereb t o ti43k t1ie.€onYenES((Os comignmen€are'fuliy and ae�[ e3y de�9k�1 dtsove by he pioper sFiiPptng;name:erg are dasstfied,paCicag@4i <br /> marked rad.kitiefNzl%placard l ac d erelrt li,xes in proper:condidon.forVansport by ttighWay accordirig:to appirable irate p nat and nattmat government regu)ations,;:indluding <br /> applidable state regulations" <br /> (..._ <br /> .... �., . t ;. .,.� pEiria* <br /> 3 �� <br />