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oo. 4 t 55yd345' <br />011forni.4p <br />rrimpmal <br />;.;r-.w.�j - <br />7;—' Y 1.'.♦ <br />T(rang AOCUment <br />DATE iii1Q";Cu 4 <br />Tilui"j <br />PAGE 16/25 <br />Contmminer <br />Quantity Container <br />^" B/B VAAA <br />Quantity Container Quantity <br />44P.A. <br />PN Del T e PX <br />DelType P!U Del <br />ulers # 4461T <br />R <br />SCH <br />CCPA <br />20CH <br />SPH <br />CCPH <br />20JPA <br />2.5CH <br />S-14PH <br />16CH <br />2.5PH <br />S-22PH <br />16PH <br />CCCH <br />S32 -PH <br />Customer C:ertlficarioa: <br />This is tv certUV that rt.o „f,.,..,... -..,..t _ .,.._._.. _ <br />in proper condition. Fort twn according to the appltcn le p _-® w "' `` " "' `"-°°'""`"' "`°""'ea° Pacmgea, mnrka4 and ratpeted, and <br />p b anon �' <br />Print Name Customer Signature Date <br />`*Californta Mtdical Disposal, Inc. <br />t 4100 E Therese Ave. <br />Fresno, CA -93725 <br />(559)-834-5850 <br />Reg.Ole44XP/032 <br />A tgnature Date ' <br />4106 E Therese Ave- <br />-- <br />Fresno, CA 93725 <br />ulers # 4461T <br />R <br />4Reqg. <br />T <br />y <br />Authorized Signature <br />Date <br />C California Medical Disposal <br />4100 E T ierest Ave. <br />Fresno, CA 93725 <br />(559)-834-3830 <br />Reg. Haulers # 4461 <br />PERMIT # TS/OST32 <br />x <br />Authorized Signature <br />Inc. C <br />r, . <br />X <br />Authorized Signature <br />J <br />Date <br />X Authorized Signature Date <br />Caiiiornia 111edles) Mspmal. Inc. <br />4100 E Therese Ave. <br />Fresno, CA 93725 <br />(559)-834-5850 <br />Reg. Ilau)ers X 4461 <br />PERMIT # TS/OST32 <br />Authorized Signature Date Ree'd <br />�Date Authorized Signature Dace Recd <br />I UN3291, PG II, 6.2 <br />