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I` KAZARDOUS.NATERIAL,F11PING DOCI !": e <br /> TRANSPOR R:Stericycle, Int.- <br /> 4135 V.Suitt•Ave <br /> Fresno,,CA 93722 k <br /> I• (866) 783=7122 p <br /> ..For Ster cycle Customer Care <br /> call 1.866.783-7422 8' <br /> Stericycle Customer 0 6081715 <br /> I' •'.,vr,tiynt' ,cam 7:,Slt'e�6 0U <br /> LI Salette Convalescents ? <br /> 537 lost Fulton.Street , <br /> Stoiktor(,CA 95204 <br /> �. . REGULATORY,6:• • : . • ., C <br /> Rhone 0:,0O9),4fi5'?�6 <br /> ' •Cohteit :Cfa Peizeira <br /> A t t <br /> �•'��RYICE•DATE:5lu/15•U:15:32 AM • <br /> •,SNI PINI'OOCUIE m:; R06GAL• ' <br /> UN3291,REGULATEDNEDICAL V 1.0.5.,, <br /> 6.2'.Fill L ' <br /> For DOT 14A111AT Emergency Response Call: .; <br /> CHENTREC 1-800.424.930 <br /> Customer No.21U2 •: - <br /> TOTALCONTAINERS COLLECTED: 3. } <br /> TOTAL.YOUR'COLLECTED: 12.30 CU'FT <br /> YOL <br /> ROARY(Cont Type) ...QTY CF <br /> RX02'2 6st(Phorm) .L: +.1 0.30 '• <br /> T614 44 Gal-Tub(6io),;_CT 12.7' 2 11.800 <br /> OAOUN RX02 0A0I96 T614• OM180 T614 <br /> I hereby declare that the contents of this <br /> consignment are fully and accurately t I <br /> described above by the proper shipping <br /> nue,and'are classified,packaged,marked <br /> and labelled/®taardgd;and are in all p <br /> respects-in proper cinditia+for transport, <br /> according 4o,appliable international and I <br /> nsiional,governmental'regulatiaN. <br /> rosemarte pangan I <br /> Generator Signature- <br /> TnnsDorter Certification:Parra,Rene' .)" <br /> L ? <br /> Transporter Signature <br /> ; a <br /> X)iNI5 SIS A TNRW6N-Ri%PNENT. <br /> 01.L.00At TRANS CENTER,•.. " <br /> Stericycte•Fre!no,CA <br /> DESTINATION FACILITY:- <br /> Incinerate Only qqgIV.�e�La� c <br /> •3At448 //IAtNJUlY36cte �J i <br /> Dental Waste <br /> Stericycle•14o111ster,CA <br /> Phsnaceutical <br /> X Stericyclel-Kans s City,KS <br /> 141564' } <br /> Standard t <br /> :X; Stericycle•Fresno,CA <br /> DATE OF RECEIPT AT <br /> TREATWENT FACILITY: <br /> --- a <br /> DELIVERY O weirr 1:PDFROOG6Ai f <br /> TOTALIDELIVEREO I NS:,2 <br /> '�ITEM , Qttl 'i <br /> T614 44 Gal Tn�(010),CT 112..Z lb 2 ) <br /> DRIVEk:;Parra,.Rre ,i;;. ( ld <br /> FREUNCY:•Viekly';'• ...,,e <br /> NEXT,PICXUp. S/U/IS',.`•. <br /> CUSTpIER SRV%Q:: <br /> finnk'you for choosing°.Stericycle <br />