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Trawg Document <br />SERVICE •• <br />Container Quantity <br />Container uantity <br />Type P/U Del <br />Type P/U Del <br />• • .9:, <br />00 KASSON -s • <br />-•° lDVIO3015 <br />TRACY, CA •. <br />CONTACT, DON WILCOX <br />20B <br />DATE., OU27f2OD5 Thursday <br />STF ANI '�'I FRILIZU) 'NJCJOC'AL 1:1ti'1" ; <br />t+ <br />Container uant31q, <br />Container Quantity <br />Container uantity <br />Type P/U Del <br />Type P/U Del <br />'Type Y,ti Del <br />48B <br />32B <br />Transporter <br />44B <br />20B <br />S-14 <br />40B <br />SIIa s <br />S-22 <br />38B <br />Sharps <br />S-32 <br />IAL WIL;lURI <br />Container Quantity <br />Container Quantity <br />Container Quantity <br />Type P/U De! <br />P/U Del <br />T3 P/U Del <br />44PA <br />8CH <br />CCPR <br />20CH <br />8PH <br />CCPR <br />20PA <br />2.5C <br />S-14PH <br />16CH <br />2.5PH <br />S -22P <br />16PH . <br />CCCH <br />S32 -PH - <br />Lustower ertiflc ArFr <br />rtity that the above named regulated seal waa is properl;V classified, described, packaged, marked and labeled, and <br />1p proper condi ' n r acG6rr g to the applicable r <br />X f' LG/� <br />Print Name us Omer Signature Date <br />uifornta Medical Disposal, Inc. <br />00 E Therese ve- <br />eszNCA 93715 <br />9 5850 <br />au rs 0 61 <br />h T T32 �erl <br />Mt <br />orized Signature Date t <br />difornia Medical Disposal. TAc. <br />( 4100 E Therese Ave. <br />Fresno, CA 93725 <br />(559)-834-5850 <br />Reg. Haulers # 4461 <br />Pfrn # TSIOST32 <br />X Auth;Amd Signatur <br />X <br />Authorized Signature Date <br />r05X <br />D <br />r- California Medical Disposal, Inc. 7 <br />4100 E Therese Ave - <br />Fres no. <br />ve_Fresno. CA 93725 <br />(559}834-5850 <br />Reg. Haulers # 4461 <br />PEMIJT # TS/OST32 <br />X <br />Authorized Signature <br />Authorized Signature Date <br />[ California Medical Disposal, Inc. <br />4100 E Therese Ave, <br />Fresno, CA 93715 <br />(559)-834-5850 <br />Reg. Haulers a 4461 <br />PIERMiT # TS/0ST3z <br />x <br />Authorized Signature Date Reed <br />X <br />Date Authorized Signature Date Recd <br />U113291, PG <br />