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9ouT <br /> Rea9-44, Stericycle <br /> D <br /> TEAR HERE'-oulaNd e <br /> PPI, 9 <br /> bA <br /> DOCUMENT NAq <br /> � �!I <br /> 3 edlcal waste Trackin System <br /> �lLEPi 1 <br /> 4ATFRIAL SHIPPINf 11""C <br /> "M <br /> t s :a t. <br /> . � .,r t � LIAIF d <br /> FMERGENC`; PANE: i-800-2. <br /> g <br /> f AL`CDUNT #: 6059477 002 <br /> MANTECA CANE 8 REHAB <br /> Name <br /> _ Car ',� un- �i k+ � REGULATORY #. <br /> Address: '> SERVICE DATE: 1011&l04 O1... 0) PM <br /> DRIVER 10: LH; , <br /> Citi _h1a n State w zips ' + . <br /> y <br /> 911drC <br /> Phone SHIPPING DOCUMENT u. MOFR001TVL <br /> I <br /> l SF52, <br /> CIOLCIFD. 2 ' <br /> l ACL iME, n, 4 jU,!, FI <br /> AUTOCLAVABLEDE F CODE :11PF 130f_ PF <br /> Cont Quantity = Curet Quantity OOAOOHE TB21 ODAOUHD 6'I <br /> Type pfu [Bei Type Plul Del TF <br /> T ? al{f? ': ". T THIS IS TO CERTIFY THAT THE <br /> MHTf 4I Al SHE PROPERLY CLASS I F IID 11 <br /> TBI �i:XuED, MARKED AND <br /> 0 _ $V la4 It J' CONDITION FOR <br /> i0 IHE APPkCAOLE REGULATIONS Ot [HE <br /> Tw 6" DEPARTMENT „r iRANSPOR,A? GEF <br /> SHW <br /> 77777777, <br /> .. �PRiNt tl&ME <br /> B1 <br /> T3 $ ', � <br /> 03Bim° <br /> AUTHOR 1 ZED S'?,MATURE <br /> �s1C3 ': ti9 . <br /> Lsi <br /> taENERKOF#;�d�ERTtft I�f:Thls laic°`sertiiy.that shove named riiaterials are°.properly d9ss feed,.descrl ed>.p�ckagl _- <br /> trl nn rtatitm�aegiAin toahe applicablexe tkat�ons fhe Department of TransporaptionF� , ' UFL i JERY DOCUMENT a POFROOI OF <br /> TOTAL DELIVERED ITE1fS: 2 <br /> iYP QTY <br /> t F'rilt�tarrie:': . : : ors Signature <br /> QTY E IYPF QIY <br /> T821 2 <br /> Ax <br /> ALZ <br /> TD86_i �tX 1 0 <br /> 7 <br /> Sterraycle.inc.. �'�terieyci+�,inc, � �]'Sterio�ie,in", . ,. <br /> 2816 ( .Keith r5r. 28161 Riy faith err. T1S75� Slhiteick Road<< <br /> Lake Forest,IL 60045 Lake Forest,= ],60045 Rancho Cordova,SA 95742` <br /> {323?362 3001 , �, (3231`35 3000 (9#6}985-55Qi <br /> F#az.i haul r;Ff� 3�F00 _ Haz.Hauler,Fteg_#$x400 tv4 T Perrrlit 34-6- <br /> v, <br /> X11- <br /> Authorized.Segttaut mate Authorized Signature Hate Initial Crate Received <br /> ,I 1 <br /> Stericycie, inc. j;Stericyr e, inc: 3 L7 Stericycle;-im <br /> 4135 W.SwiftAvenue '345 Doolittle Drive,Suite C; � ; 90 forth ;100 West <br /> rPsno CA 93722 San Leandro,CA 945177 f forth Salt`Lake, UT 840541 <br /> 58i 275-0992 510)636-9502 <br /> ATF PPr rt ;Ci u3 MWTS r'orrnit X19 23-{� lass I incineration <br /> ff <br /> _eatment Liv u odaverra kAWTF Perms 3 r _8-, __ rrrl+r 49,02 <br /> ,t�7_} t�..�- �,[]ti'FG'{ce?1 �iG;natGlie 'F? xrC?nf by dneratiwn <br /> ., ,. ,22 <br />