Laserfiche WebLink
4 <br />41 <br />W <br />'f 4 4A <br />V- Applicable permit numbeds: Escondido- 5688 – MW -172 Daniunsonkupsmad, Inc. <br />Transporter 1 Address: WM Healthcare Solutions, Inc. 4144 E Therese Ave. <br />Sect <br />Generator No. <br />Transporter I Acknowledgement of Receipt of Materials Phone #: (323) 307-0514 Permit III: TS/OST 55 <br />24 -Hour Emergency Response <br />7A. Transfer Facility: <br />80024 <br />( )4 -9300 <br />WIVI Healthcare Solutions, Inc. <br />i 'j <br />!'J J j I i I k, <br />3670 Enterprise Ave, <br />and disposed of in accordance with all local, state, and federal regulations. <br />0 EPrint <br />c: <br />Hayward, CA 94545 <br />Name <br />E W <br />State Generator's ID No. <br />Phone (512) 356-8901 <br />Signature Permit number: <br />Permit It: TS -96 <br />Print /Typed Name Date <br />Signature_ <br />Generator's US EPA ID No. <br />Ee n <br />ire 1"'3 'j'!, "I <br />Date <br />21 Discrepancy <br />C <br />2. W <br />E <br />2a. Description of Waste 2b. Container Type <br />2c, No of 2d. lb. or <br />L -j 713. Transfer Facility: <br />Containers Volume <br />WM Heatilicare Solutions, Inc, <br />To terminated Now To 6 <br />Signature Date <br />5337 Luce Avenue, BLDG 243G <br />McClellan, CA 95652 <br />Phone (512) 356-8907 <br />Permit #.* TS -98 <br />Signatur <br />it 1; V" <br />Date— <br />2! <br />LU <br />------- 77, —77-77 7, 77 t <br />7 <br />7C. Incineration Facility <br />WMRRRC <br />-7 <br />7505 State Hwy 65 <br />Anahuac, TX 77514 <br />Phone (409) 267-3913 <br />'0 <br />Permit #: IVISW 2239-A <br />El 7D. Alternate Facility: <br />i'o 1 1, 1 <br />'.0 <br />Transporter 1 Is to check box If this Is a through shipment ❑ <br />FTOTALSIOE <br />'- <br />iE.Destination Facility: L j <br />V- Applicable permit numbeds: Escondido- 5688 – MW -172 Daniunsonkupsmad, Inc. <br />Transporter 1 Address: WM Healthcare Solutions, Inc. 4144 E Therese Ave. <br />Awh&4 1996 Don Lee Place Ste. C Phone #: (760) 489-5009 Fresno, CA 93725 <br />WEscondido, CA 92029 Vernon- 5688 – MW -157 Phone (559) 834-6252 <br />Transporter I Acknowledgement of Receipt of Materials Phone #: (323) 307-0514 Permit III: TS/OST 55 <br />Signature_ <br />Signature Print/ Typed Name Date — Date_ <br />— <br />Transporter 2 Address: Phone #: <br />7. Treatment Facility Printed Certification of Receipt and Treatment <br />C-4 0 <br />"l certify that the contents of the listed container/s have been received, treated <br />and disposed of in accordance with all local, state, and federal regulations. <br />0 EPrint <br />c: <br />Name <br />E W <br />.5 <br />Signature Permit number: <br />Print /Typed Name Date <br />C <br />21 Discrepancy <br />C <br />2. W <br />E <br />42 E <br />0 <br />Comments <br />1:1 <br />To terminated Now To 6 <br />Signature Date <br />E <br />uD <br />0 <br />ii Q8 <br />8 Sa <br />n <br />(0 <br />> <br />-0 0 <br />Q <br />0) <br />an <br />Z. o <br />12 <br />0 <br />00 <br />is <br />CL <br />2, <br />0) CL <br />E <br />C 's oE <br />.'r. W <br />Z 0 <br />22 0 <br />C: <br />0. <br />1! CI. <br />to <br />CM <br />LD n 0 <br />CL. <br />0 <br />.0 <br />4) '-5 75 <br />a)c o <br />7 <br />0 E <br />E a, <br />> <br />& 8 <br />0 '12 <br />CL is F <br />C) <br />-0,0 "U.,\ <br />P =' C = <br />R - <br />L - (a Z <br />'0 -p co <br />a 0 Im <br />C co <br />(9 c0) <br />0 X <br />H <br />