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0 <br /> -------------------------------------------------- <br /> HAZARDOUS MATERIAL SHIPPING DOCUMENT <br /> -------------------------------------------------- <br /> Transporter Fresno (CA) <br /> 4135 W. Swift Ave <br /> Fresno,CA 93722 <br /> (866) 783-7422 <br /> Permit Number: <br /> -------------------------------------------------- <br /> For Stericycle Customer Care <br /> Call 1-866-783-7422 <br /> Stericycle Customer # 6033902 <br /> Site # 002 <br /> -------------------------------------------------- <br /> Ambulatory Surgery Center <br /> 2388 N California St <br /> Stockton,CA 952045506 <br /> REGULATORY #: <br /> Phone #: (209) 944-9100 <br /> Contact : Gary Bry <br /> --------------------------------------------- <br /> SERVICE DATE: 3/25/2014 <br /> -------------------------------------------------- <br /> SHIPPING DOCUMENT #: MDFROOEVHG <br /> MDFROOEVHG <br /> MDFROOEVHG <br /> UN3291, Regulated Medical Waste, N.O.S., 6.2, PGII <br /> For DOT HAZMAT Emergency Response Call: <br /> CHEMTREC 1-800-424-9300 <br /> Customer No. 21132 <br /> TOTAL CONTAINERS COLLECTED: 6 <br /> TOTAL VOLUME COLLECTED: 13.000 CU FT <br /> VOL <br /> SUMMARY(Cont Type) QTY CF <br /> TB14 44 Gal Tub(Bio), CT 12.7 lb 2 11.800 <br /> RX02 2 Gal(Pharm) 4 1.200 <br /> ------------------------------------------------- <br /> OOAOIES TB14 0OA01EP TB14 OOAOIET RX02 <br /> OOAOIEV RX02 0OA0IEU RX02 0OA01EW RX02 <br /> ------------------------------------------------- <br /> I hereby declare that the contents of this <br /> consignment are fully and accurately <br /> described above by the proper shipping <br /> name, and are classified, packaged, marked <br /> and labelled/placarded, and are in all <br /> respects in proper condition for transport <br /> according to applicable international and <br /> national governmental regulations. <br /> ------------------------------------------------- <br /> Darlene Matthews <br /> Generators Signature <br /> Transporter Certification: Sal Flores <br />