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AMERICArf DATE <br /> CNVIROINJMENTAL MANAGEMENT CORP. <br /> 11855 WHITE ROCK ROAD, RANCID CORDOVA, CA 95642 <br /> / (916)985-6666 <br /> l BIOHAZARDOUS WASTE DISPOSAL SERVICE AGREEMENT <br /> Bill To Custo ame <br /> Billing Address <br /> City.State and zip City, tate snar2lp <br /> . B <br /> i <br /> Payment Contact-Name - Ss i Cont -Nsma , <br /> Phone Number Phon Number <br /> r <br /> •e e e /' <br /> Aq) <br /> Collection containers with liners which meet State requirements for containment of biohaxardous waste y (sites). <br /> Collection of filled containers (frpuency) <br /> Disposal according to the C.A.C.Title 22 regulations <br /> Service to include collection and disposal at the following rates <br /> 7® <br /> Dais Service To Commence' <br /> e e• a -- - ---- - - - -- - - <br /> Special emergency pick up service includes an hourly charge for one NonelF/etrdous technician and truck st"book rsat�e�s�PJe�r h uv plus the 9bovelfi i charges. <br /> Consultation with customer"s staff charged @$ '•`�'� a�{' `'�"-"'-� Z-k---be(tj ui.Each session covers biohatardoustAnlectious <br /> waste segregation,collection,and storage strategies.definitions and Title 22 regutati s <br /> SI G THIS AGREEMENT,YOU ACKNOWLEDGE YOU HAVE READ AND UNDERSTAND THVE91MS MS AN ONDITIONSONLAIRS2ESIE OF THIS AGREEMENT AND THE PRICES AND <br /> ATIONS ARE HEREBY ACCE ED NO SERVICE SHALL BEGIN ON-DATE SERVICE COMMENC <br /> •" 6 � DAT <br /> AUT oHORI D SIGNATURE CUSTOMER A ORIIED SIGNATURE <br /> C t( Q.bP_4-u J C h.dVl c yn,. <br /> PLEASE PRINT NAME AND TITLE PLEASE PRINT NAME AND TITLE <br /> ORIGINAL <br />