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alftrnDisposal <br />PAGE 21/25 <br />Tr lWg Document <br />rPEDWER: <br />No <br />Container uantity <br />Type P/U Del <br />Del <br />SM -7- PHONE: 209-830-302 <br />23500 KASSON ROAD <br />PO# W03015 <br />TRACY, CA 95376 <br />CONTACT: DON %MLCOX <br />20B <br />DATE. r♦ • -• <br />S EAM STERI l • ZI 1) MEDIC AL NVANTF <br />r ! 15 .oil <br />Container Quantity <br />Container Quantlty <br />Container uantity <br />Type P/U Del <br />Del <br />Tjpe PXT Del <br />48B <br />32B <br />Transporter <br />44D <br />20B <br />S-14 <br />40B �- <br />Sharps <br />S-22 <br />38B <br />Sharps <br />S-32 <br />Container Quantity <br />Container Quantity <br />Container Quantity <br />Type PN Dei <br />Lie I'M Del <br />Ty a I'M Del <br />44PA <br />8CH <br />CCPA <br />20CH <br />SPH <br />CCPR <br />20PA, <br />2-5CH <br />S-14PH <br />16CH <br />2.5PH <br />S-22PH <br />16PH <br />CCCH <br />S32 -PH <br />guearea euR aace properly ctaawesed, described, packaged, marked and labeled, and <br />in proper �Xll <br />a or spo ion according to the Rpplicabl e of a D / <br />a ✓CS x — <br />PrUnt Name Customer Signature Date <br />84tttornia Medical Disposal, Inc. <br />4100 E Therese Ave. <br />Fresno, CA 93745 <br />KI <br />,� n(V <br />Signature tate <br />C 4100 E Therese Ave. <br />(Fresno. CA 93725 <br />(559}$34-5$,50 <br />Reg. Haulers 0 4461 <br />%RERMIT 9 TSIDSr. <br />x <br />Authorized Signature <br />3 x <br />Date Authorized Signature <br />= California Medieal Disposal, Inc. <br />4100 E Therese Ave. <br />Fresno. CA 93725 <br />(559}-834-5550 <br />Reg. Haulers #f 4461 <br />PERMIT I# TSIOST32 <br />Authorized Signature <br />California Medical Disposal. Inc. <br />4100 £ Therese Ave. <br />F resdo, C.A. 9372$ <br />(559)-834-5850 <br />Reg. Haulers #i 4461 <br />PERIMT # T&6ST32 <br />Authurized Signature Dare Recd <br />Date <br />x <br />Date — --� Authorized Signature Date Recd <br />LT 3291, PG II, 6.2 <br />I <br />