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GI: 36 JJ983d"92 <br />Container <br />- • /.. A V .l a l <br />Quantit • Containeruantih <br />- Tr*ng Document <br />Medical1 <br />_• <br />48B <br />32B <br />SERVICE ADDRESS <br />DRIVER: NB <br />5185 DEUEL VOCATIONAL INSTITUTION <br />ORDER# 18458 <br />40B `L <br />SITE PHONE:20MO.3882 <br />23500 KASSON ROAD <br />POM OV103015 <br />TRACY, CA 95376 <br />CONTACT: DON WILCOX <br />PAGE 15/25 <br />Container anti <br />Container <br />- • /.. A V .l a l <br />Quantit • Containeruantih <br />T e P/>C Del <br />Type <br />WE Det 7)'pe PN Del <br />48B <br />32B <br />Transporter <br />44B <br />20B <br />5-Z4 <br />40B `L <br />Shar s <br />S-22 <br />38B <br />INN <br />Shams <br />S-32 <br />Container Quantity <br />Container <br />. Jus V8i1 <br />Quantity Container Quantity <br />T e P/t Del <br />T <br />P/U Del Type P!V Del <br />44PA <br />8CH <br />CCPA <br />20CH <br />SPH <br />CCPH <br />20PA <br />2.5CH <br />S-14P)fI <br />16CH <br />2.5PH <br />S-22PH <br />16PH <br />CCR <br />S32-Pti <br />t1USfOAA1er C'oHi{-hn..-Ti.:. .. ._ <br />---- ...a ®.o.. ,.® 1— 60 VKUP-A-A�-Aassme , a r1Dea, pacttigea, marked and labeled, and <br />in proper conditl r a s ottatlon according to th c alatio sof the DOT. <br />Print Name Customer Signature Date <br />-r f-Ailifornia Medical Disposal, inc. <br />4100 E Therese Ave. <br />*th <br />A 9372 <br />5850 <br />ers# 61 <br />S2 <br />x <br />Auorized Signature Date <br />t aillot7Ua Medical Dispgsai, Inc. <br />100 E Therese Ave. <br />Fresno. CA 93725 <br />(ggg}.g3a.g8c0 <br />Reg. Harriers # 446 <br />X <br />Authorized Signature <br />x <br />Authorized Signature- Date Authorized Signature <br />CAINOMla Medical Disposal, Inc. <br />4100 E Therese Ave. <br />Fresno, CA 93725 <br />(559}834-5850 <br />Reg. Hauiers # 4461 <br />K"Irr # TS/OST32 <br />Los <br />Date <br />J <br />California Medical Disposal, Inc. <br />41001; Therese Ave. <br />Fresno, CA 93725 <br />(559)-834.5850 <br />Reg. Haulers # 4461 <br />PER.INIIT # TS/OST32 <br />Authorized Signature Date Redd <br />X <br />Authorized Signature Date Authorized Signature Date Recd <br />U�3291, PG II, 6.2-1 <br />