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MEDICAL INASTE TRACKING DOCUMENT 0 313695 <br /> 11252 Vionff ch Suite C <br /> G�rden Crow,CA 92841 <br /> 900-200-3181 Toll)Frei: <br /> 900-472-5075 FAX MEDASEND <br /> Balance Due, <br /> 0KNERATOR;533I FR, M IFICATION <br /> This is To ce%ify Mm d12 mwtziab idmt[Acd bdow o'Ce classite,:L packzk5@-d, <br /> Linw:01t Sq.Po Et Acute PU 5 2 IV I marked and labeled iu-proper cbndftion for tim!5pw----tion according to the <br /> H32"M Lkr-r,In.St INpoinsent of Trmspoytvion- <br /> 1-5ZDckton,Lk)52t,3 <br /> 209-446,5341 T1 M' E <br /> gan 5PM PRINT N RIO <br /> TRANSPORTEZR PZC3lSTRkT110N:*6146 Gener-alm.imd�--rstmdN iudy M 3299 &,pLated 13iohazard1us Wasta as <br /> deftned by UMNA,CA F.Pk DOT, and CDPH wiJl be izccqpted by <br /> I 12-5,:Y M at[amh St Wedmrtd Biomedical. wam v,-ll natbe acuptEd- <br /> Chawc)24a, CA SIGNATURE C>(-I <br /> Tres ientr�eattiiAr: Ti"A2��P RT R"5 GERTIM-ATION- <br /> As 1he t *ortel 8 representifive,I certify that the uutvnu described <br /> 4144 <br /> Frame,C-AL 9 K121 hudn me pkkag#dfbr shipment ijz accordErice with Ali apphcable <br /> ................ - -----------4.................... <br /> ........... ............. ...... <br /> ........... ............. -T Rat*.... Ar=rt- <br /> -------E),-� <br /> twit ode <br /> :-:.I.......... ...................... <br /> ............... ..........—................. ... ... .. ......... <br /> ......... ....... ......--....................I......... ..................................... ........... <br /> MONTHLY MWICAL WASTE'SERVICE M <br /> .......... ................ ........ ........ ........................ - -------- <br /> ............ ......1 1.-�-... .....-1-1....I I I--—I I....I�.................. . ... ............ <br /> .5 7-01RIP-r-E WEE- I-L Ha 1115 142 <br /> V29, <br /> ................... ...... <br /> .. ........ ......... .... ..... . . ................ <br /> ............. <br /> .................. -------------- .................. <br /> LA... ...................... . .. . .. .. ....... <br /> ................... .... .......... <br /> ....... ...... ... . . . ....... .. . . . ... . <br /> TUB,. 10 38& <br /> "411DI. 3 <br /> Regulated Meffival Waste 6.2, UN3291, PG 11 <br /> MEDASEND SIGTIATURR;�: DATE <br /> 601/S9 d zS� [ 'ON Nd6S : � 61H 'E ', dV - , <br />