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02 07/03 08:10 FAX E209I8 10 WASTE TRACKING ® C1! NIT X102 <br />U <br />INTEGRATM ENVIRONMENTAL. SYSTEMS 7 �f n <br />Fit (G/ <br />Phone: 1 (800) 292-7837 or I (800) 2 U'ASTES Y59a <br />Serving California... Oakland - San Francisco • Sacramento - Aiodesto - Fresno - Los Angeles - San 17iego. <br />GENERATOR: <br />BLVG1'.LY t:ANOR CGIdV HOSt =SIOHAZ <br />RELEASED BY GENERATOR: ................... I ................................... <br />NAME .............2'e" sir "iv";rF�i; Y3'a"..ui...............I.............-- <br />ADDRESS SHARPS__ PATH __-r,,, CHEMO PHARMS <br />:3:' fi' ..:.........................................:.A.._•---- <br />ADDRESS..................5.Ov..........------_--------------.-............................... ONLY MEDICAL WASTE AS DEFINED BY LAW IS IN THESE CONTAINERS UNLESS AS <br />ACCOUNT>s�h : •y........� ...._.._.............. OTHERWISE SPECIFIED HERE THERE ARE NO HAZARDOUS OR RADIOACTIVE MATERV <br />............. <br />vfJal•'.��4 `) ".............. ALS INCLUDED IN THE CONTENTS. THIS WASTE WAS RELEASED TO THE PERMITTED <br />PH0NE 10................................................................................................. MEDICAL WASTE TRANSPORTER IDENTIFIED HEREIN. <br />2—TUB %-x <br />"%R7,JCK KEY 44011 <br />1/14 6-2 REST/G ORGi,, <br />TRANSPORTER: <br />® INTEGRATED ENVIRONMENTAL SYSTEMS <br />499 HIGH STREET, OAKLAND CA 94601 PH: 510.261-1512 <br />TRANSPDP iURMII# jAiFCAD-980890321 <br />n X 499 ii.iytt S t rae L <br />u Oakland, CA 94601 <br />PH:800292-1037 Trails PerniL�-2025 <br />EPA IO # <br />PICKED UP DE VEpFn <br /># of Barrels <br /># of saxes <br /># of Other <br />TRANSFER STATION: ............................................................. <br />Date Shipped Out <br />I V7, <br />ED WASTE TO THE PERMITTED MEDICAL. <br />W STAMONNA... ... .. ...... .... ------­------------MEDON SDOCUMENi:P,12pldiep��jA.VdftlnfsEAerrpate <br />t certify that the <br />Sian ea tlf G9nErtpfs Audronzed Anent Data Retsased <br />TREATMENT FACILITY: <br />INTEGRATED ENVIRONMENTAL SYSTEMS <br />499 HIGH STREET, OAKLAND CA 94601 PH: 510.261.1512 <br />DHS PERMITS: #99-00069-P, #99-00070-P <br />THE IDENTIFIED TRANSPORTER DELIVERED THE ABOVE DESCRIBED WASTE TO <br />THIS MEDICAL WASTE TREATMENT FACILITY. AS DESCRIBED IT WAS ACCEPTABLE <br />UNDER LAW AND CALIFORNIA'S DEPARTMENT OF HEALTH SERVICES <br />REGULATIONS. <br />DUANT17 RECEIVED AND DESTROYED; ......................... 111k.Q ........... <br />a <br />sgnaerre of i V14rmrorized Agent Date Received <br />11!a5 ! ±91 Rr 3r Rt 1 ' f tl r e w <br />07275980058008 <br />� <br />1IF" J cis.% 11! <br />TREATMENT FACILITY ORIGINAL <br />