Laserfiche WebLink
— - 1 ME=ALWASTE TRJAMNG FORM NUMBER <br />01*0 � WrANDAM MAWMT 001-10404M <br />000 Stericycle' IN CASE Or- EMERGENCY CONTACT- CHEMTREC 1-800-424-9300 <br />4a. * h-W"#ft"W B -6094W Route #: 123 - 6 CUSTOMER NM 21132 MDFROOtIVZE <br />1. Generatoes Name, Address and Telephone Number <br />Al"hUgharon Miller 111111111111111111IN1111111 <br />IM -RAI -1. CA= CRKJA-STW=N <br />2350 'M CnIF0MA ST <br />sTcamN, CA 9S204- 6606 <br />(209) 943-0854 11/14/2017 <br />CUSTOMNUmseff 6018098-002 <br />?A DESCRIPTION OF WASTE 2B. CONTARMTYIPS 2C. NO. OF M VOUUME <br />r—Ped Regulated me" WaSK n a %,TBQ5 - 40 Gal Tub (sio) (5.3 cu ft) CONTAINERS Cy FL <br />6,2. Ili <br />Replated Medical Waft—, T049 - 37 Gal Tub (Bio) (4.9 Cu Tt) Cm Ft <br />0 cc Umml ReplMalmedical waftnues, TB14 - 44 Gal Tub(siq) (5.9 ou tt) <br />s.2, pail Cu Ft <br />U1132912 <br />e11 RePM Medical WW% 0.04, T821- (am) /Tv15- (path) ITY15- (Chino) 20 sal Tub (2-7curr) <br />RodatedMedicalWasle CU FL <br />asx. MB31- (Rio) JW21- (path) /WC31- (Chemo) 31 GO. Tub(4.14CUPV <br />z &Z Poll Cm Ft <br />W Rellum � <br />606111 Log maj2- (Rio) /m62- (vath) /CW3- (Chemo) Gal Tub(3.7CUP2) CY Ft <br />UUM Replatod Medical Waft <br />a2. Fall ate' UB Vi*systemcs; cardboard Beg (4.2 cu ft) Cu FL <br />ormAmmil . m <br />4 <br />;WF.iV.TEJ9l ADDRESS* '�o �Pt_ #-. <br />Stericycle, Inc. This in a Thr �ipvoftt Apple" PWM NWT&M- <br />4135 W. Swift Ave Hauler Feg# 3400 <br />Ircesno,cA 93722 <br />TRANSPOR:!� waft as demg)ed <br />PWWO Nasne SWWWm <br />11111111111111C� <br />