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—�-��` e.+�+-• u0. 40 0000.340 I <br />i <br />SERVICE ADDRESS <br />5165 DEUEL VOCATIONAL INS11TU11ON <br />23500 KASSON ROAD <br />TRACY, CA 96376 <br />�. Trng Document <br />DR(,TER: <br />N8 <br />ORDERS <br />13774 <br />T)Te Pfu Del <br />8CH <br />,., <br />. O3015 <br />CONTACT:DON <br />WILCOX <br />DATE: <br />, M <br />PAGE 25/25 <br />Container Quantity <br />Container Quantity <br />Container Quantity <br />Type P/U Del <br />44PA <br />T)Te Pfu Del <br />8CH <br />tvpe P/U Del <br />CCPA. <br />20CH <br />8PH <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 />us[omgr �ertittcano : t nA to rtlt 'ttnnat Me above named regulated medic-,tl was 16 properly classified, described. pac"ged, marked and labeled, and <br />is proper condi a r tr�tirt �ac g to the applicable {o f <br />X ` eij / L' <br />print Name a omer Signature Date <br />nia Medical Disposal, Inc. <br />Therese Ave. <br />T32 <br />�-^') -o X <br />( <br />Signature <br />Date Authorized Signature Date <br />MMM <br />ledical Disposal, Inc. <br />4100 E Therese A,,#. <br />Fresno, CA 93725 <br />(559)-834-5850 <br />Reg. Haulers 8 4461 <br />Pf#MT 0 TS/0ST32 <br />X AAAAAAAi I -d5x <br />Autborized Siguatur Date Authorized Signature Date <br />California Medical Disposal, Inc <br />4100 E Tbtrest Ave. <br />Fresno, CA 93725 <br />(559)-834-5850 <br />Res. Haulers 0 4461 <br />PE)KNUT # TS/OST32 <br />x X <br />C. California Medical Disposal, Inc. <br />4100 E Therese Ak'e- <br />Fresno, CA 93725 <br />(559)-834-5850 <br />Reg. Haulers P 4461 <br />PER11[T # TS/OST32 <br />x <br />Authorized Signature Date Rec'd <br />Authorized Signature Date Authorized Signature Date Rec'd <br />UN3291, PG IF,67-2 <br />