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e ' Stericycte IN CASE OF BIEMIEN" CONTA01%C <br />f . I , ' v.vr..l - I low Route 0: 303 - 8 <br />1'. Generatoe's Marne, Address and Telephone Number <br />ATTN-. <br />GOLM LIVING HTPANA 569 <br />4545 SHELLEY COW <br />sTocMi, CA 95207 <br />i <br />UWI�AL 4YA0E TRACKMt3 POIW MUM <br />sTaaanre2 r3rArn�sT ms.�e,otlsry <br />ntrt MDFROONH6 <br />(209) 477-0231 3%21/2014 <br />3. Generetor s COMficagOw.. •1 hereby a ttmt the cariterge of Urs cor sW raect are b* and accurately MAW0,1 11.0 G <br />described above by the proper shipping nye. aM are dassifi . ffAeOd and tabefi , and <br />we in aU rap" in proper condition ON transport m appticabte %demi&& net aM gavemrrental regi ftm' <br />P NarrN IAM &J49 —swoon /V Ali <br />Date <br />4. TRANSPORTER t ADDRESS: Phone #: (.559)275-1121 <br />Stericycle, Inc. ❑ This i8 a 75hipL1 ant: App5cable PermU NcrnbefW <br />4135 West Swift Ave. Hauler Reg# 3400 <br />Fresno, Ga 93722 <br />TRANSPORTER CERTlRCATKft Receo d modw waste as deembed abwe. <br />Name Aliji <br />Y. Date <br />i. WMWAMATE HANDLER 2 / TRANSIRCMER 2 phone #: <br />Appkable Pmrrdt Numbers: <br />INTERMEDIATE HANDLER /TRANSPORTER CERTIFICATION: Recept of medtce waste as dwated above. <br />Pr&wiype Naurre a Date <br />e. Til HANDLER 31TRANSPORTER 3 ADOFMW Phone #: <br />Permit dw. nbew. <br />TIE HANDLER ITRANSPORM CERTIFICATION: Reo* of madW waste as downted above. <br />iii <br />Date <br />ru.rywwMi n� nU.rau <br />r,t •. <br />r�� s <br />�. °rwrt.rr► 'C'rwalr+x7+ww �, <br />���. Ir <br />� w� uyyr�WwwrW.uu ���V <br />,. <br />y <br />yp!p <br />3. Generetor s COMficagOw.. •1 hereby a ttmt the cariterge of Urs cor sW raect are b* and accurately MAW0,1 11.0 G <br />described above by the proper shipping nye. aM are dassifi . ffAeOd and tabefi , and <br />we in aU rap" in proper condition ON transport m appticabte %demi&& net aM gavemrrental regi ftm' <br />P NarrN IAM &J49 —swoon /V Ali <br />Date <br />4. TRANSPORTER t ADDRESS: Phone #: (.559)275-1121 <br />Stericycle, Inc. ❑ This i8 a 75hipL1 ant: App5cable PermU NcrnbefW <br />4135 West Swift Ave. Hauler Reg# 3400 <br />Fresno, Ga 93722 <br />TRANSPORTER CERTlRCATKft Receo d modw waste as deembed abwe. <br />Name Aliji <br />Y. Date <br />i. WMWAMATE HANDLER 2 / TRANSIRCMER 2 phone #: <br />Appkable Pmrrdt Numbers: <br />INTERMEDIATE HANDLER /TRANSPORTER CERTIFICATION: Recept of medtce waste as dwated above. <br />Pr&wiype Naurre a Date <br />e. Til HANDLER 31TRANSPORTER 3 ADOFMW Phone #: <br />Permit dw. nbew. <br />TIE HANDLER ITRANSPORM CERTIFICATION: Reo* of madW waste as downted above. <br />iii <br />Date <br />1 t Y <br /># wt �� 'alrl�++!! ^,}f�wk•111M <br />...._. <br />� w� uyyr�WwwrW.uu ���V <br />,. <br />� . '�r4a!4r!UM �Y�4"'"'!W� � .�"!iWMwwr MM�..- <br />.. IIIA <br />,:� - dY ►: t ;; . �e . • . xi t w.sr , 't : sr .w a a.t vr. _ .: C . <br />yww <br />1 t Y <br />