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r <br />Awmwmw AM <br />Wmff M :w AN rmlrffmff� <br />w . sw Aw► <br />an AN M" Mw w jw wMw <br />All Chemical Disposal. Inc. <br />21 GREAT' OAKS BLVD., SAN JOSE, CA 95119 <br />PHONE (408) 363-1660 /FAX (408) 363-3587 <br />HAULER PERMIT# 2914 <br />MEDICAL WASTE TRACKING DOCUMENT TRACKING# <br />I v- 1765 <br />PROJECT# <br />TYPE OF WASTE PICKED UP: <br />EXPIRED CONFIDE"AL <br />R1019HARPS PA-rH CHEMO ANIMAL MEDICA_nQX RECORDS OTMER <br />QTY tj stm <br />07" t SME <br />OW 11SEE <br />QYY I SIM <br />OW I SIMDTY I SIM <br />QTY I SME <br />I <br />I <br />s SERACEADDRESS: <br />TOTAL CONTAMERS: <br />'KIKI r.110 4 "Lal' �f ILT,11.1 <br />I <br />FACILITY: ( <br />s SERACEADDRESS: <br />CITY. STATE. ZIP. >uT <br />y <br />TRANSFER STATION: <br />ALL CHEMICAL DISPOSAL INC. <br />21 GREAT OAKS BLVD., SAN JOSE, CA 95119 <br />STATE OF CALIFORNIA, OHS TRANSFER STATION PERMIT# TS -35 <br />DATFrAARIVED: <. 2 6 - ot-) <br />INITIALS OF PERSON ACCEPTING WASTE > T <br />TREATMENT: <br />1114RENO <br />EST. TOTAL WEIGHT. <br />WEIGHMASTER LOG NUMBER <br />AND INITIALS OF DEI'UTY <br />DISPOSAL <br />1390 E. COMMERCIAL ROW <br />ACTUAL TOTAL WEI GH -F -.q 0 <br />ASA REPRESENTATIVE OF THE ABOVE FACILRY, I CERTIFY THATTHE COMENTS, DESCPJBED <br />RENO, NV 89502 <br />ABOVE. ARE PACKAGED INACCO ROANCEWrMTHE STATE OF CALIFORNIA REGULAMONS. <br />(775) 329-8822 <br />AND HAVE BEEN COLLECTED AND REMOVED. <br />PERMIT # IWH-004 <br />FACILITY REP: <br />DATE ARRIVED <br />DATE: C- 7 <br />SIGNATURE OF AUTHORIZED ALL CHEM REPRESENTATIVE: <br />DATE TREATED <br />SIGNATURE <br />x -.1 DATE. <br />z oc <br />IM��ODAIERATORQTVMUFPXKUP Pi)IX:TRMSFERSTA'MHYMOW.TREATMOITFACUW <br />GHEEN: TRANSPORTER AFFM TREATMENT VWHffE- GMERATOR 0 IRE OF Bn=G <br />