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afifornia <br />Medical <br />ariY W�a�a. <br />S-UP"TER t O D <br />-00 DOUGLAS E <br />CCN-' TN`'., CA 95- 07 <br />Tracking Document <br />C-Ustomer Uernncaaon: L u1J n .o ..V.....y -. <br />and in proper con #on for transportation according to the applicable regulations of the DOT , <br />X A <br />Print Name Customer Signature Date <br />_._ <br />Medical Disposal, Inc. <br />❑ California Medical Disposal <br />' <br />DRIVER' <br />&ER <br />;alifornia <br />4160 E Therese Ave. <br />15610 Boyle Ave <br />4227 Technology Dr. <br />Fresno, CA 93725 <br />Fontana, CA 92337 <br />Fremont, CA 94538 <br />CONTACT: <br />SUSAN SCHOFIELD <br />DAJE:M <br />x03(* T Y <br />C-Ustomer Uernncaaon: L u1J n .o ..V.....y -. <br />and in proper con #on for transportation according to the applicable regulations of the DOT , <br />X A <br />Print Name Customer Signature Date <br />_._ <br />Medical Disposal, Inc. <br />❑ California Medical Disposal <br />- <br />❑ CahforniaMedacal Disposal <br />;alifornia <br />4160 E Therese Ave. <br />15610 Boyle Ave <br />4227 Technology Dr. <br />Fresno, CA 93725 <br />Fontana, CA 92337 <br />Fremont, CA 94538 <br />(559)-834-5850 <br />(909)-355-1743 <br />(510)440-7362 <br />DTS. Haulers # 4463 <br />DTS. Haulers #4461 <br />DTS. Haulers 0461 <br />Permit # TS/OST33 <br />Permit # TS/OST46 . <br />Permit # TS 41 <br />QFC # rf�W 506104( <br />'sX <br />TECQ # MSW 50104 <br />TECQ # MSW 50104 <br />X <br />t <br />— <br />Authorized Signature Date <br />Authorized Si nature Date <br />Authorized Si nature Date <br />I <br />❑ California Medical Disposal, Inc. <br />4100 E Therese Ave. <br />Fresno, CA 93725 <br />(559)834-5850 <br />Permit # TS/OST32 <br />X <br />O California Medical Disposal, Inc. <br />4100 E Therese Ave. <br />__ Eresnn, CA 93725 <br />(559)-834-5850 <br />Reg. Haulers # 4461 <br />X <br />Authorized Signature Date <br />❑ California Medical Disposal <br />15610 Boyle Ave. <br />Fontana, CA 92337 <br />(909)-355-1743 <br />Permit # TS/OST46 <br />X <br />A nfhnri7rdl Civnature Date <br />I <br />X <br />Authorized Signature Date <br />UN3291, PGII, 6.2 <br />IN] <br />xAuthorized Si nature Date <br />x <br />Authorized Signature Date <br />