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MEDICAL WASTE TRACKING2 DOCUMENT# <br /> 5 8 Mr_vm-t-.h S' <br /> 7 Am.pg� <br /> iL&dea CA-!3ve,CA 929-4111 �2 Cl 1'7 <br /> HO-200-3-121 Toll Fief <br /> SM-02-5073 FAX MEDASEND <br /> Balance nue: <br /> GENERATOR"Pick-w Locatlon) GENERATOR 14IPPER CE;RTl EF,C.MOW <br /> This 1:to C-etfv the,all-man'ialz id'dt.f�d 1'?!0vv ire cla=_s lu p kEtapd, <br /> Sq.PoitAclltl T 52 marked aid prilpgr cQj3dj—".Djj fjor'Etnnp-ttz�011 accoxditj to the i C,3 2 X Lba c.)in St Depmtmm of TTmEpomton.. <br /> r <br /> PRINT TIME <br /> TR_l-' SFc.aTFa Rl_ISTRATI:QAT 4 614e -1433, <br /> Waste.11 <br /> -a Bioln'4 �y Ug/F-PX C&FP_k DOT, 2md CDPH wD, b -accrDtLtdby <br /> 11252 Mqattac�St <br /> jardcm run a<<Fs 312941 <br /> SIGNATURE DATE 2,--1-7 <br /> MA.11SPORMVE2 CERTJFTC. IOY: <br /> A.-the Yeprewemz�ve'1 Cer�f�t��thp�Onieats <br /> 4 144 F,Thei ese Avenue <br /> A 9 37 2 1 hirTit am p Eck gpd fbr TE'pwl ut ill acco T�art��.'%ith 211 RpYL cstle <br /> C <br /> . .................... <br /> ............... ..... ....... ..... <br /> .......... ....... ......... <br /> ................... ........ ....... ....... .......... <br /> .... ....item-Cr�ds'--- ........ ........... <br /> t <br /> MEDICAL WASTE SIP171CF. S <br /> PU12 M0NlrHLVr <br /> ........... ...... ............... <br /> lf3 <br /> RED U�ko <br /> .................. ............... ......TV I 3qg .. ........ <br /> .............................. . <br /> a: <br /> eglua ted Mediral'Wante 6.2, UN3291 PG Il <br /> YLZDAfEWD STOW—A rURK, DAM <br /> 60WL9 'd MO :ti EH '01 dV <br />