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;Wbrnia Medical Dlsposal,Inc. - <br />100 E Therese Ave. <br />Fresno, CA 93725 <br />(554}-83a.ggs0 -- <br />Reg. Mau rs # 6I <br />MI2 ST32 <br />—Authorized Signature Date x <br />Authorized Signature Date <br />California Medical Disposal, Inc. <br />4100 E Therese Ave. <br />Fresno, CA 93725 <br />(559)-8345850 <br />Reg, Haulers # 4461 <br />PES,# MJOST32 _ <br />Signature <br />California Medical Disposal, Inc. <br />4100 E Therese Ave. <br />Fresno, CA 93725 <br />(559)-834.5850 <br />Reg. Haulers # 4461 <br />PERMT it TS/0ST32 <br />go <br />Authorized Signature — Dale <br />- California ivledical Disposal. Inc. <br />4100 E Therese Ave. <br />Fresno, CA 93725' <br />(559)-834-5850 <br />Reg. Haulers # 4461 <br />PERMIT # TSiosT32 <br />.A.uthorized$ignature Date Ree d <br />Authorized Signature Date <br />Authorized Signature Date Recd <br />�UN329I, P II, 6. <br />PAGE 08/25 <br />e <br />f <br />s T Odng Document <br />SERVICE ADDRESS <br />DEUEL VOCATIONAL INSTITUTION <br />DRIVER: rve <br />ORDER# 7302 <br />SITE PHONE, 30-3882 <br />23500 KASSON ROAD <br />PO# DVIo3o15 <br />TRACY, CA 95376 <br />ACT; DON WILCOX <br />DATE' 09/23/2004 Thursday <br />M Kim <br />ContainerMMOMM�OTAL <br />WEIGHT <br />2u&nt[tv <br />Type P/U Det <br />Container <br />Type <br />uantit Container uantih' <br />48D <br />32B <br />PIU DelNO <br />T,pe P/U Del <br />44B <br />Transpoi-ter <br />40B <br />20B <br />S-14 <br />388 <br />Sharps <br />S-22 <br />Sha s <br />S-32 <br />Container Quantity <br />Quandt' <br />Container <br />'WEIGHT <br />T WryQ <br />Del <br />T e <br />,aantin Container Quantity <br />PIU Ael <br />SPA <br />PA <br />Tv a PIU Del <br />20CH <br />CCP,A, <br />• <br />20PA <br />SPH <br />CCPII <br />16CH <br />2.5CH <br />S-I4PH <br />I6P11 <br />2.5PH <br />S-22PH <br />CCCH <br />Custome[ceitmcstj n: This' to ce <br />in proper condi ' n f trans rotation acroTdlpg to a aI►pl! ble a <br />S32-PII <br />ttd medi al w tee is properly C"ified, described, packaged, marked and labeled. <br />(1 0 I <br />and <br />-�- <br />Print Name <br />.- <br />Castomer <br />Sigt afore <br />Date <br />;Wbrnia Medical Dlsposal,Inc. - <br />100 E Therese Ave. <br />Fresno, CA 93725 <br />(554}-83a.ggs0 -- <br />Reg. Mau rs # 6I <br />MI2 ST32 <br />—Authorized Signature Date x <br />Authorized Signature Date <br />California Medical Disposal, Inc. <br />4100 E Therese Ave. <br />Fresno, CA 93725 <br />(559)-8345850 <br />Reg, Haulers # 4461 <br />PES,# MJOST32 _ <br />Signature <br />California Medical Disposal, Inc. <br />4100 E Therese Ave. <br />Fresno, CA 93725 <br />(559)-834.5850 <br />Reg. Haulers # 4461 <br />PERMT it TS/0ST32 <br />go <br />Authorized Signature — Dale <br />- California ivledical Disposal. Inc. <br />4100 E Therese Ave. <br />Fresno, CA 93725' <br />(559)-834-5850 <br />Reg. Haulers # 4461 <br />PERMIT # TSiosT32 <br />.A.uthorized$ignature Date Ree d <br />Authorized Signature Date <br />Authorized Signature Date Recd <br />�UN329I, P II, 6. <br />