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U // ln/ 2bi75 07: 58 55983,-'92 <br />i� <br />Tra.. Document <br />PAGE 13/25 <br />SERVICE ADDRESS <br />DRIVER:5165 <br />v Container Quantity <br />Type P/C Del <br />• O . • • <br />- r R, <br />17516 <br />44113 <br />SITE • t.: t :sr <br />23500 KASSON ROAD <br />PON <br />DV103M <br />TRACY, CA 95376 <br />CONTACT' <br />DON WLCOX <br />S-32 I <br />r'' <br />0312412005 d ay <br />tiTF,'AllSTERILIZILD'11IL )`ICAt Wk' %Tr <br />r ArEld IRV_a <br />Container QU20tity <br />T P/C Del <br />Container Quantity <br />Type P/C' Del <br />v Container Quantity <br />Type P/C Del <br />48B <br />32B <br />Transporter <br />44113 <br />20B <br />S-14 <br />40B <br />Sharps <br />S-22 <br />38B <br />Sharps <br />S-32 I <br />I INCINEft-MON NVAS;14_ a a <br />Container Quantity <br />Type PN Del <br />Contsdoer Quantity <br />T.2e, P/U Del <br />Container Quantilh- <br />Tt a P/U Del <br />44PA <br />8CH <br />CCPR <br />20CH <br />SPH <br />CCPR <br />20PA <br />2.5CH <br />S-14PH <br />16CH <br />2.5PH <br />S-22PH <br />16PH <br />CCCH <br />S32 -PH <br />In proper do or uportat(on accordjn� to the applicable <br />Pr( t Name x <br />t`Callforala Medical Disposal, Inc. <br />\` 4100Elierese Ave. <br />Fresno, CA 93725 <br />Fresh 3725• <br />(559)-634-5850 <br />(5550 <br />Reg. Haulers # 4461 <br />R at ra # t <br />PIT # TS/OM2 <br />!4 T 2 <br />Authorized Sign <br />Authorized Signature <br />Date <br />4100 F Therese Ave. <br />Fresno, CA 93725 <br />(559)-634-5850 <br />Reg. Haulers # 4461 <br />PIT # TS/OM2 <br />( <br />Authorized Sign <br />a <br />ate <br />= California Medlcal Disposal, Inc. C <br />4100 E Therese Ave <br />Fresno, CA 93725 <br />(559)-834-5850 <br />Reg. Haulers # 4461 <br />PERMIT # TSIOST32 <br />X <br />xAuthorized Signature <br />r <br />is properiy c ssmed, descrloed, packa ed ar nd labeled, and <br />e <br />Date . <br />Authorized Signature Date <br />7 <br />C California Medical Disposal, Inc. <br />41D0 £ Therese Ave. <br />Fresno. CA 93725 <br />(559)-834-5850 <br />Keg. Haulers IT 4461 <br />PERMIT # TS/0ST32 <br />x <br />Authorized Signature Date Rec'd <br />Authorized Signature Date Authorized Signature Date Rec'd <br />LTV3291, PG 11, 6.2 <br />