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'�02 07/03 08:10 FAX 209463adbiA BEVERLY MANOR . <br />m, <br />MEDICAL WASTE TRACKINC DOCUMENT <br />INTEGRATED ENVIRONMENTAL SYSTEMS <br />F41 Phone. I (SOU) 292-7857 or 1 (800) 2 WASTES 734451 <br />Serving California... Oakland - San Francisco - Sacramento - Ifodesto - Frrsno -1.os Angeles - San Diego <br />r r - <br />NAME <br />BEVERLY 14ANOR COAiV HOSP <br />ADDRESS ...... _._...270. <br />N CALZFaRNIA Sfi <br />............................................•----............ <br />ADDRESS <br />STOCKTQN CA <br />............................................................... <br />AccouNr #------...........5 <br />......"", *----.-- <br />saoa <br />PHONEY -2 .............•---...................-----.............------.............................. <br />209-466-3522— 0 <br />2—TUB 44 <br />"TRUCK KEY #40" <br />1/14 DOC DESi/GEORGE <br />TRANSPORTER: <br />® INTEGRATEQ ENVIRONMENTAL SYSTEMS <br />499 HIGH STREEL OAKLAND CA 94601 PH: 510-261.1512 <br />TRANSPORTER PERMIT 02028 EPA 10 JCAD-980890321 <br />® 1. E. S. — OAKt,M <br />X 499 High Street <br />Oakland, CA 94601 <br />Pli:8002927837 Trans Permit#2028 <br />EPA ID L: <br />r PICKED UP DELIVERED <br />0 of Barrels <br />of Boxes T <br />of Other <br />TRANSFE STA ..................... <br />Date Shipped Out <br />1 TRANSPO ASC; DESCRIBED WASTE TO THE PERMITTED MEDICAL <br />W ORTRANSFER STATIM NAMED ONTHIS DOCUMENT <br />........ 4 <br />................... <br />........................ <br />r -'. <br />Sigoarwa ar Trarrspo,ter'sAu�ror�tl A®enr Data <br />QUAMjTX RELEASE GENERATOR : .................. ........................... <br />BIOHA7..� SHARPS PATH CHEMO PHARMS <br />ONLY MEDICAL WASTE AS DEFINED BY LAW IS IN THESE CONTAINERS UNLESS AS <br />OTHERWISE SPECIFIED HERE THERE ARE NO HAZARDOUS OR RADIOACTIVE MATERI- <br />ALS INCLUDED IN THE CONTENTS, THIS WASTE WAS RELEASED TO THE PERMITTED <br />MEDWASTE TRANSPORTER IDENTIFIED HEREIN, <br />l the for ingjs true & correct. <br />fnature of Genardor's AuthiIN eAoent Dame Ro4mm d <br />TREATMENT FACILITY: <br />INTEGRATED ENVIRONMENTAL SYSTEMS <br />499 HIGH STREET, OAKLAND CA 94601 PH: 510-261-1512 <br />DHS PERMITS: 099.00069-P, 099-0007()-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 />... ......................... a ... _.. <br />..•-_.................... <br />of aci!!t t Au genu' Date Rewivad <br />I�tillll�!III�510058008 <br />dIbIIN1nIIINIm � <br />