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U It 14/ Lbb' b /: 58 55983d"52 <br />1 ! r, <br />Tr'ig Document <br />RA —.1112 <br />01SPOUBI <br />SERVICE ADORIEESS <br />5"EE DEUE! V :^.: i0,":AL ItJST.YU : 10 IN �nC�ER!1 13318 <br />E <br />SITE <br />:,3500 KAScON ROAD an}F iNliQ:yn+�; <br />TRACY ' A ;5376 t`,ONTAC:T EyNN <br />f E: 0112WW6 ThulSday <br />TOTAL WEIGHT <br />Type <br />P/CJ Del Type <br />48B <br />32B <br />44B <br />20B <br />40B <br />Sharps <br />38B <br />Sharps <br />Container <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 Ce 'fieation: <br />TV is t cerdfy that the above named s <br />In proper eonditi <br />r tr spn on ace rding to the appllc b <br />x ( � 10 X <br />G% X <br />-- <br />Authorized tore Date Authorized Signature D <br />Print Name <br />PAGE 04/25 <br />F/U Del Type P!U Rel <br />S-14 <br />S -22— <br />S-32 <br />MINVOTAL `NTIGI-3('ZJA <br />Quantity Container Quandty <br />P/U Del Type P/U Del <br />CCFA <br />CCPR <br />S-14PH( <br />S-22PH <br />S32 -PH <br />o al waste h properly classified, described, packaged, tna ed and Inbeled, and <br />the DOT, <br />0 1'- <br />Signatury Date <br />alifornla Rledicall)Isposal, Inc. <br />7 California Medical Disposal. Inc. <br />4109 E Therese Ave. <br />4100 E Therese Ave. <br />Fresno, CA 93725 <br />(559}834.5850 <br />an <br />Reg. Haulers k 4461 <br />in <br />PERMIT # TS/OST32 <br />x2' X <br />X <br />Authorized Signature Date Authorized Signature Date <br />Authorized Signature Date Recd <br />e <br />California Medical Disposal, Inc- <br />4109 E Therese Ave. <br />Fresno, CA 93725 <br />(559y834-5850 <br />Reg. Haulers # 4461 <br />RMIT # TS/( n2 ]j ' <br />x ( � 10 X <br />-- <br />Authorized tore Date Authorized Signature D <br />California Medical Disposal, Inc. <br />4100 E Therese Ave. <br />Frespo, CA 93725 <br />(559)-834-5850 <br />Reg. Haulers do 4461 <br />PERMIT # TSIOST32 <br />x _ <br />Authori ttt[gr <br />J <br />X <br />Authorized Signature <br />Date Recd <br />