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n/i-'lirnnn bb:48 559834 0 <br />fIVIedicalmrllm I <br />SERVICE ADDRESS e <br />DEUEL VOCATIONAL INSTIMION. <br />/i 0 •♦,0 <br />•,. <br />Tr f ehg Doctiment <br />PAGE 07/25 <br />Customer LCLI xation: Tbls is to certify that the above named regulated medical waste is roperly classified, described, pgckaged, marked and labeled, and <br />in proper can <br />dn fortrans rtaticcording to the applicable a egtU res of DO 49 jY:Z . <br />Print Name oroer Signa r Date <br />CaUfurnia Medical Disposal, Inc. <br />4100 E Therese Ave. <br />Fresno, CA 93725 <br />(559)-8343850 <br />Reg. Rau 461 <br />RM[T OST3 <br />Authorized Signature . Date <br />jYCalifornia Medical Disposal, Inc, <br />4100 E Thetese Ave. <br />Fresno, CA 93725 <br />(559).834-5850 <br />Reg. Haulers 114461 <br />PERMl M /OST32 <br />Authorized Signature Date <br />California :Medical Disposal <br />41001E Therese Ave. <br />Fresno, CA 93725 <br />(559)-8345850 <br />Reg. Haulers # 4461 <br />PERMIT 4 TS/OST32 <br />X <br />Authorized Signature <br />Inc. 71 <br />x <br />Authorized Signature Date <br />J <br />X <br />Authorized Signature Date <br />X <br />Date <br />UN3291, PG U, 6.2 <br />_ California Medical Disposal, Inc. <br />4100 E Therese Ave. <br />Fresno, CA 93725 <br />(559)-834-5850 <br />Reg. Haulers # 4461 <br />PERyffT # TS/OST32 <br />X <br />Authorized Signature Date Recd <br />Authorized Signature Date Recd <br />i • <br />is <br />i <br />rz t11,; <br />PAGE 07/25 <br />Customer LCLI xation: Tbls is to certify that the above named regulated medical waste is roperly classified, described, pgckaged, marked and labeled, and <br />in proper can <br />dn fortrans rtaticcording to the applicable a egtU res of DO 49 jY:Z . <br />Print Name oroer Signa r Date <br />CaUfurnia Medical Disposal, Inc. <br />4100 E Therese Ave. <br />Fresno, CA 93725 <br />(559)-8343850 <br />Reg. Rau 461 <br />RM[T OST3 <br />Authorized Signature . Date <br />jYCalifornia Medical Disposal, Inc, <br />4100 E Thetese Ave. <br />Fresno, CA 93725 <br />(559).834-5850 <br />Reg. Haulers 114461 <br />PERMl M /OST32 <br />Authorized Signature Date <br />California :Medical Disposal <br />41001E Therese Ave. <br />Fresno, CA 93725 <br />(559)-8345850 <br />Reg. Haulers # 4461 <br />PERMIT 4 TS/OST32 <br />X <br />Authorized Signature <br />Inc. 71 <br />x <br />Authorized Signature Date <br />J <br />X <br />Authorized Signature Date <br />X <br />Date <br />UN3291, PG U, 6.2 <br />_ California Medical Disposal, Inc. <br />4100 E Therese Ave. <br />Fresno, CA 93725 <br />(559)-834-5850 <br />Reg. Haulers # 4461 <br />PERyffT # TS/OST32 <br />X <br />Authorized Signature Date Recd <br />Authorized Signature Date Recd <br />