Laserfiche WebLink
y w �r,r.o c, r : ad 559830 - 52 <br />crfmcolsposal <br />SERVICE ADDRESS <br />5165 DEUEL VOCATIONAL INSTITUTION <br />23500 KASSON ROAD <br />TRACY, CA 95378 <br />Container Quantin, <br />Cont: <br />1. R!L Del <br />7tpe <br />48B <br />32B <br />44B <br />40B <br />20B <br />Sha; <br />38B <br />Sha; <br />PAGE 10/25 <br />f' <br />Trng Document <br />DRIVER: <br />NB <br />ORDERN <br />16131 <br />SITE PHONE: 3882 <br />PON <br />DV103015 <br />CONTACT: <br />DON WILCOX <br />DATE: <br />03/03121W5 Thurs&y <br />OTA.L M4'EIGHT <br />_ uantity <br />Container Quantity <br />P(t1 Dei <br />T)pe P/U Dei <br />CCCH <br />N. - <br />Transporter <br />S-14 <br />S-22 <br />S-32 <br />/'T A i <br />U -7I T/'+r TT <br />Container Quantity <br />TY Plu Del <br />Container Quantity <br />Type Flu Dei <br />v Container Quanhtl' <br />Type P/[1 Dei <br />44PA <br />8CH <br />CCPA. <br />20CH <br />8PH( <br />CCPR <br />20PA <br />2.5CH <br />S-14PH <br />16CH <br />2,5PH[ <br />S-22PH <br />16PH <br />CCCH <br />N. - <br />S32 -PH <br />in Proper condiwn ( trausl rtatlon according to the a <br />Print Name <br />-- -- . 1. -1— �., ..,,, u, aescnueu, pacMagea. marxea ana labeled, and <br />the AOT. -.,;" -1, 1 -c <br />u,wa mnspos■t, A,tc. <br />4100E Therese Ave, <br />F <br />ro, 93725 <br />850 <br />al rs # 61! T12 <br />x <br />orized Signature Date <br />Mfornin Medical Disposal, Inc. <br />1? Therese Ave. <br />Fresno, CA 93725 <br />(559)-8.34-+8.50 <br />Reg. Haulers 0 4461 <br />PERMIT # MOST32 <br />X� <br />Asitlsorued Signa re to <br />'I California Medical Dr <br />4100 E Therese Ave. <br />Fresno, CA 93725 <br />(559)-834-5850 <br />Reg. Haulers # 4.161 <br />PERMIT # TS/OST32 <br />x <br />Authorized Signature <br />I <br />x <br />Authorized Signsiture Date <br />X Authorized Signature Date <br />X <br />Date <br />N3291, PG II, 6.2 <br />California Medical Disposal, Inc. <br />4100 E Therese ave. <br />Fresno, CA. 9372$ <br />(559}834-5850 <br />Reg. Haulers 9 4461 <br />F E"OT # TS/OST32 <br />x <br />Authorized Signature Date Recd <br />Authorized Signature Date Recd <br />