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MEDICAL WASTE PROGRAM <br />Business Name Phone <br />Business Address City_ <br />Contact Person Phone <br />us <br />Owner Phone <br />Owner Address City Zip <br />Program Element Code <br />Onsite Treatment? Y N (circle) If Yes,Treatment Unit Type <br />LQHE? Y N (circle) <br />MWMP in EHD file? Y N (circle) <br />