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Phone <br />Received from another facility DMT See attached summary <br />Name <br />Address <br />City, State, Zip <br />NPD~S # <br />Phone <br />Other DMT <br />Stored DMT <br />Long term Treatment DMT <br />Pathogen Certification (Y/N/n/a) Y <br />VAR Certification (Y/N/n/a) Y <br />Management Practices Certification (Y/N/n/a) Y <br />Landfill Certification (Y/N/n/a) NA <br />