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209+463+6910 GOLDEN UVON :09 P.M. 06-09-2011 6/8 <br /> To:Tom Gantt Page 2 of 5 2011-05-17 09:23:40 GMT-06:0000 18663334165 From:BNI Team <br /> ®ii® SMEDICAL WASTE TRACKINGiORN MOUSER <br /> IN CASE OF BERCEICY C UWCT:d1EIfMEC 141004244000 SWCARDUAMMU001-1001.6M <br /> CUSTOAM NQ 21 o32 HIDERWAXWE <br /> toFt's Nam,Addrms and Telephone <br /> ATTN <br /> 1111 - s 0570 <br /> 2740 E CRUF(a� M ST. <br /> 1. <br /> I <br /> Re Ch 95204 <br /> jt2091 466-= §L1012013— <br /> 7A.D OF WASTE U. COMADWI TVPi <br /> I W.On OF ZIX VOLUM <br /> papww us"Waft COMMMERS I <br /> a2,Pl0 _ 10 Ft <br /> 6.2UN%ftIwWd Mediad Wnw,ams. <br /> Tti49 - 37 Gal Tub (Rio) (4.9 Cu tt) CU FL <br /> pIt RWAM eledkol Wore. <br /> 1 F 14 - 44 Gal '1'ub(tTlo) (i.9 cu Ltl Cu Ft <br /> Q to xt!Wit,Rputesed McOfnlwasee.as e, 1821 - 20 foal Tub(Bie) (2.7 cu ft) Cu F <br /> W 5wom rte.ILM <br /> 6zP6j 711115 - 20 64 Tub (Bath) (2.7 cu ft) 21 Ftj <br /> UUM. waste.a- <br /> 62.PGm 15 - 20 eal Tub (chesel 12.7 cu tt QFt <br /> Cu FL <br /> OU FL <br /> ®u�l� Medlw tl�te,sots., <br /> I <br /> L Cwditation:9 hereby dwlaa eat Ore cmWft of urls=uWvnW tee hdbr end aoa e,* ALSI► ) a,F1. <br /> by �frb+o aem0.and are dassilled.padoW.maerad and= end <br /> era In an mpe N in properowbow for dio <br /> and nnal _ <br /> IName Iq OF C 4.TRANSPORTER <br /> I ADDRESS: x'010 9 5-1121 <br /> Stericycle, Inc. 0 This is a Tlerouq Shipaent <br /> 4135 mot Swift Ave. Bouler Req# 3400 <br /> TRANSPORT Fresno,Ca 93722 <br /> CERTIFICATION:ReaW a mescal weft ae <br /> t� swam <br /> G— <br /> « s INTERMEDIATE HANDLER 2/TRANSPORTER 2 ADDRESS:- <br /> Applicaft <br /> w <br /> Pam*Numbers: <br /> ' <br /> INTERMEMTE H/WQLER/TRANIMIRTE7i 710N:p4csot d vmM as donahmd ae,aae. 1 <br /> Dwa <br /> A 8.INTERMEDIATE#WQLER 3/TRANSPORTER 3 ADDRES& Phone#: <br /> Apok"Parmp NunW*s: <br /> INTER TE HANDLtOi/TRANSPORTER CERTIFICATION:RecW ofmad Weiv desalhad above. <br /> PdftTfvm Name Das <br /> 7.DUREPANCY INDICAnON <br /> T cu tt b: NeMU Ldcu,UT <br /> i eRFWWW. Aftmift ftdar. as Aftwnow Fadaly e0.Aftwift FsdW. <br /> 134 <br /> 4186 W.SWIFT AVE 10 N 11w WEST 5 )�a"S10 C 556 in <br /> OCA 93M NORTH SALT <br /> LAW CITY,UT Rist ,G 90" VERNON.CA =3 <br /> ( )275-1121 (510)582.2171 t323)U2- <br /> -26 <br /> TREATMENT TV:I�riilynH atli�hawe been autwized by the appllcabla state agency to accW unseated wastes and that I have <br /> received the above indicated wasW in acmdance wNh the mquLlement in that auih odzoton. <br /> � PIYWiype Nam® t� <br /> ®04102 <br /> I <br />