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t AM <br />-Aw <br />AdffiwAw"�" " <br />QTY I SIZE <br />QTY I SIZE <br />AM= JW Mir <br />Aff ® MMWPWW <br />AV= AN W JW W <br />MJW MW ON Aw wwav <br />CONFIDENTIAL <br />MEDICATION <br />RECORDS OTHER <br />All Chemical Disposal, Inc. <br />r <br />r <br />211 GREAt OAKS BLVD., SAN JOSE, CA 95119 <br />PHONE (408) 363-1660 /FAX (408) 363-3567 <br />HAULER PERMIT # 2014 <br />MEDICAL WASTE TRACKING DOCUMENT <br />TYPE OF WASTE PICKED UP. <br />RIMSHARPIR PATH CHEIM0 ANIMAL <br />TRACKING <br />1,752 <br />QTY I SIZE <br />QTY I SIZE <br />PROJECT # <br />QTY I SIZE <br />EXPIRED <br />CONFIDENTIAL <br />MEDICATION <br />RECORDS OTHER <br />TY SIZE <br />an I Sim <br />QTY I SIZE <br />QTY I SIZE <br />QTY I SIZE QTY I SIZE <br />QTY I SIZE <br />ERVICFADDRESS: Z/fil-IN' <br />t <br />I <br />I I <br />TOTAL CONTAINERS: <br />ZIP: 96 1 <br />11KBINT-1 NJ Q;f 0 111 hTd <br />JFACIUTY: Tn." C& <br />TLIo - o ('G <br />ERVICFADDRESS: Z/fil-IN' <br />t <br />c1w. STATE:4f."-j <br />ZIP: 96 1 <br />TRANSFER STATION: <br />ALL CHEMICAL DISPOSAL INC. <br />21 GREAT OAKS BLVD., SAN JOSE, CA 95119 <br />STATE OF CALIFORNIA. DHS TRANSFER STATION PERMIT# TS -35 <br />DATEARRIVED: <br />INITIALS OF PERSON ACCEPTING WASTE <br />iREATMENT: <br />EST. TOTAL WE(G HP. <br />WEIGHMASTER LOG NUMBER <br />AND INITIALS OF DEPUTY <br />ACTUAL TOTAL WE[GfHP. <br />LArRENO DISPOSAL <br />1390 E. COMMERCIAL ROW <br />AS A REPRESENTATIVE OFTHEABOVE FACILrrY. I CERTIFYTHNT-THE COMENYS DESCRIBED <br />I <br />ABOVE, ARE PACKAGED IN AC�C0RDMCEVffM THE STATE CIFCALIFORNIA REGULATMNS, <br />MD HAVE BEEN COLLECTE <br />. <br />D i IE*OYED' <br />RENO, NV 89502 <br />(775) 329 -0822 <br />PERMIT# IH -044 <br />FACILITY REP <br />DATE ARRIVED <br />�' <br />DATE: . <br />SIGNATJ-JRE OF AUTHORIZED ALL CHEM REPRESENTATIVE: <br />DATE TREATED <br />SIGNATURE <br />x DATE: <br />GQWENR0D:MiEMTM01W0FPXKUP PUMTWUMSTATbON VM0W.TREATMVfFFAGMW <br />jGRM1:TW15MRMAFTERTREA31.-Vff WHffE:MNEMT0R*7WEGF61LLWG <br />