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IF aff Z <br />Aw <br />-A ow <br />All Chemical Disposal, Inc. <br />21 GREAT OAKS BLVD., SAN JOSE, CA 95119 <br />PHONE (408) 363-1660 1 FAX (408) 363-3587 <br />HAULER PERMIT# 2914 <br />MEDICAL WASTE TRACKING DOCUMENT <br />aw <br />I <br />TRACKING <br />i743 <br />Illy 1f;vZTQ-ff1sfzE_ <br />PROJECT <br />13 7 <br />!-1 3 <br />1 <br />C. <br />I -- <br />TYPE OF WASTE PICKED UP: <br />STATE: <br />ru <br />Lu <br />EXPIRED <br />CONFIDENTIAL <br />BIDISHARPS PATH CHEMO ANIMAL <br />MEDICATION <br />RECORDS OTHER <br />76 57 IM 5171 r IT r 3 T. 1 17 E T r: <br />I arf i sim <br />aw i srzE <br />Illy 1f;vZTQ-ff1sfzE_ <br />affisim Q*rf f SIZE <br />13 7 <br />!-1 3 <br />1 <br />C. <br />I -- <br />76 57 IM 5171 r IT r 3 T. 1 17 E T r: <br />ACILITY: 12 <br />Ln <br />SERVICE ADDRESS. '-I'. Lit -* "v• <br />C. <br />TOTAtCONTAINERS: <br />STATE: <br />ru <br />Lu <br />ACILITY: 12 <br />C <br />SERVICE ADDRESS. '-I'. Lit -* "v• <br />C. <br />STATE: <br />ZIP: .0 <br />TRANSFER STATION: <br />ALL CHEMICAL DISPOSAL INC. <br />Zi GREAT OAKS BLVD., SAN JOSE, CA 95119 <br />STATE OF CALIFORNIA. DHS TRANSFER STATION PERMIT# TS -35 <br />DATE ARRIVED: <br />INITIALS OF PERSON ACCEPTING WASTE <br />T <br />;�rl <br />TREATMENT: <br />EST. TOTAL WEIGHT: 79- <br />WEIGHMASTER LOG NUMBER <br />AND INITIALS OF DEPUTY <br />ACTUAL TOTAL WEIGHT: <br />J>fRENO DISPOSAL <br />1390 E. COMMERCIAL ROW <br />ABA REPRESENTATIVE OFTHE ABOVE FACT! I COMFYTH&TTHE COUTENTS DESCRIBED <br />ABOVE, ARE PACKAGED WACCORDANCEWaH THE STATE OF CALIFORN A REGULATIONS, <br />R ENO. 14V 89502 <br />(775) 329-8822 <br />AND HAVE BEEN COLLECTED AND REMOVED. <br />PERMIT 9 IWH-004 <br />FACILITY REP<�.kl <br />DATE ARRIVED <br />DATE: <br />SIG14ATU13 OFAUTHDRIZED ALL CHEM REPRESENTATIVE: <br />DATETREATED <br />SIGNATURE <br />x DATE: <br />GCNMfffR0D:GV1ERATM6TWE 0FMKUP PM: TMISFER STATION VM0W. TREAW0fF FACd= <br />JOREEN:TRAIISPORnRAFFER]REAUIENT YAWGENERAT0RQTNEOF6LLW9 <br />