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. 0 <br />' i <br />aOMedloal <br />Disposal <br />.fr . <br />SEPVICE ADDRESS <br />s, e EUELVOC ^. r!QNAI IrrS7ITI.,-1� <br />0 <br />;3500 !CAS�pN ROAD <br />TRACY CA 95,376 <br />Container 2aftntiq <br />Container <br />Type PN Del <br />Type <br />48B <br />32B <br />44B <br />20B <br />40B <br />ea <br />38B <br />Sharps <br />Sharps <br />Cuntaloer <br />Quantity Container <br />Type <br />P/U Del Type <br />44PA <br />8CH <br />20CH <br />8PH <br />20PA <br />2.5CH <br />16CH <br />2.5PH <br />16PH <br />- CCCH <br />Customer CertlQU02n; <br />This Is t certify that the above named i <br />is proper conditiontr <br />po tion aceyyrding to the applie b <br />X <br />e ✓e 5 x <br />Print Name <br />NAGE 24/25 <br />Tra*g Document <br />uR!VER: N5 <br />`)PDER4 133.18 <br />UTE PHO`lE' 209-830.338:. <br />Dir OV10301 5 <br />CONT,4GT' DON WILCi.t' <br />TE: Ui120i2U05 Thuluiay <br />110WOTAL WEIGHT <br />Quantity Container Quantity <br />P/U Del Type P/U Del <br />Transporter <br />S-14 <br />S-22 <br />S-32 <br />TOTAL WEIGHT <br />Quantity Container Quantity <br />P/U Del 'Type P/U� Del <br />CCPR, <br />CCPH <br />S-14PH <br />S-22PH' <br />S32 -PFI <br />rit a1 waste is properly classified, described, packaged, mar ed and labeled, and <br />the DOT. <br />Signature I vate— <br />Ttalifornin Medical Disposal, Inc. <br />4100 E Therese Ave. <br />Fres o, C 93715 <br />(5 834 50 <br />an s k 1 <br />x t -,05 x <br />Authorized Signature Date Authorized Signature Date <br />California Medical 1 <br />4100 E Therese Ave. <br />Fresno, CA 93225 <br />(559)-834-5850 <br />Reg. Haulers # 4461 <br />PERMIT # TS/OST: <br />Inc. _ <br />4100 E Therese Ave. <br />Fresno, CA 93725 <br />(559)-834-$850 <br />Reg. Hauler; v 4461 <br />I'MMiT # TS/OST32 <br />X <br />Authorize , 4u— <br />Date AuthoriFed Slgnature Date <br />= California Medical Disposal, Inc. <br />4100 E Therese Ave. <br />Fresno, CA 93725 <br />(559)-834-5850 <br />Reg. Haulers # 4461 <br />PERMIT•# TS/OST32 <br />x <br />Authorized Signature Pate Rec'd <br />x <br />Authorized Signature Date Recd <br />