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MEDICAL WASTE PROGRAM <br /> 10"i <br /> Business Name Q ��5 f �i'�O�CS��oL Phone <br /> siness Address 31 15 I�• /y►a,1'CX 1 LY 1 <br /> ity Zip 9 5 2 <br /> Contact Person Phone <br /> Owner Phone <br /> Owner Address <br /> City Zip <br /> Program Element Code S3 <br /> Record ID # b� <br /> Onsite Treatment? Y N (Circle) if Yes, Treatment Unit Type <br /> 1LQHE? Y N (Circle) <br /> MWMP in EHD file? Y N (circle) <br />