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gal iki <br />77 1 <br />1111-7 <br />Trng Document <br />uN! t. iuvu`vvr i uu�ay.y <br />PAGE 17/25 <br />Container Quantity <br />LYE PIU Dal <br />Container Quantity <br />Ty F/Ii Det <br />Container Quantity <br />a PIU Del <br />44PA <br />20CH <br />SCH <br />SPH <br />CCPR <br />CCPH <br />20PA <br />2.SCH <br />S-14PH <br />16C9 <br />2.5PH <br />S-22PH <br />16PH <br />CCCH <br />S32 -PH <br />lV 6GA4.AJ um■ Inc auuve nameu regwaiea. eu,cu evasBe tb properly Classtlted, described, packaged, marked and labeled, and <br />in proper condition for tran�ortation according to the applicable r alatlo sof the DOT., <br />Print Name ustomer S scarce Date , <br />Evia Medical Disposal Inc _ - <br />C Cxlifunlia Medical Disposal, Inc. <br />4100 E Therese Aye_ <br />1(4100 <br />4100 E Therese Ave. <br />Fresno, CA 93725 <br />(559)- 5o <br />Fresno, CA 93725 <br />94 1 <br />(559)•834-5850 <br />O Tal 1 <br />1 [ <br />Reg. Haulers # 4461 <br />PERMTT ti TS/OST32 <br />x <br />Authorized Signature Date Authorized Signature Date <br />authorized Signature Date Rec'd <br />'�Callfor•n1W M;adlcal Disposal, Inc. u <br />4100 E Therese Ave, <br />Fresno, CA 93725 <br />(559)-834-5850 <br />Reg. Ilaulexx# 4461 <br />PERMT # TROST32 <br />Authorized Sjpo re Date Authorized Signature Date <br />giant <br />" Callfomia Medical Disposal, Inc. 7 <br />_- <br />4100 E Therese Ave, <br />Fresno. CA 93725 <br />(559)834-5850 <br />Reg. Haulers d 4461 <br />PERMIT # TS/OST32 <br />X X <br />Authorized Signature Date <br />Authorized Signature Date Reed <br />UN3291, PG tI, 6.2 <br />