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< <- JJ:CJbJ� <br />allforni4' <br />Medical <br />Disposal <br />SERVICE ADDRESS <br />5165 DEUEL VOCATIONAL INSTMJTION <br />KASSON ROAD <br />TRACY, CA 85376 <br />Trng Document <br />STEAM STERI1 ZF I) NIFDIC AL WASTE <br />HA6E 26/25 <br />Container Quantity <br />Container Quantity <br />Container Quantity <br />Type P/U Del <br />Type P/f: Del <br />Type PR,l Del <br />48B <br />32B <br />Transporter <br />44$ <br />20B <br />S-14 <br />40B <br />Sharps <br />S-22 <br />1 38B <br />Sharps <br />S-32 <br />I[„r11VKILIJX In; aa <br />Container Quantity <br />Container Quanti <br />Container Quantity <br />im P/U Del <br />TIRe PN Del <br />Type P/U Del <br />44PA <br />8CH <br />CCPA <br />20CH <br />WR <br />CCPH <br />20PA <br />2.5CH <br />S-14PH <br />16CH <br />2.5PH <br />S-22PH <br />16PH <br />CCCH <br />S32 -PH <br />a.uaavnec ..cr n; ffo <br />EyEnaEEncduorenanaea re rr�.Pamteama as properlycrasstllea, aescriacd, packagCd, marked and labeled, and <br />in proper conditiortrt on a o g to the applicable <br />Print Name Customer Signature Date <br />California Medical Dispusal, f uc. <br />4100E Therese Ave. <br />Fresno, CA 93725 <br />(5 ) 34- 850 <br />a e s#44 <br />TS/0j <br />S/O 2 <br />X <br />r <br />v[ <br />u onsed ignature <br />Datettee <br />N -V CaUlfornia Medical Disposal, Inc. <br />4100 E Therese Ave. <br />Fresno, CA 93725 <br />(559)-834-5850 <br />Reg. Haulers # 4461 <br />�T # TS/OST32 <br />uth Signature �Datef <br />Inc. _ <br />4100 E Therese Ave. <br />Fresno, CA 93725 <br />(559)-834-5850 <br />Reg. Haulers N 4x61 <br />PERMIT # TS/0ST32 <br />X <br />Authorized Signature <br />x <br />Authorized Signature <br />Date <br />Authorized Signature Date <br />13 <br />California Medical Disposal, Inc_ <br />4100 E'I'herese Ave. <br />Fresno, CA 93725 <br />15591-834-5850 <br />iteg. Haulers;; 4461 <br />PERMIT # TS/OST32 <br />Authorized Signature pate Recd <br />Date Authorized Signature Date Recd <br />UN 3291., PG II, 6.2 <br />