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Ff Niedical <br />SERVICE ADDRESS <br />5166 DEUEL VOCATIONAL INSTITUTION <br />23500 KASSON ROAD <br />TRACY, CA 06376 <br />Type <br />P/IJ Del <br />Type <br />48B <br />SITE PHONE:209-830-3882 <br />32B <br />44B <br />CONTACT: <br />20B <br />40B <br />0411412005• <br />Sharps <br />38B <br />Sharps <br />Container <br />Quantity <br />Container <br />Type <br />Flu Del Del <br />Type <br />44PA <br />8CH <br />20CH <br />8PH <br />20PA <br />2.5CH <br />16CH <br />2.5PH <br />16PH <br />CCCH <br />CustomaS:ertlfl <br />tion: This is to certify that the above name <br />In proper con ' <br />r nsp tion aec d' <br />o the applica <br />x <br />Print Name <br />'California Medical Disposal, Inc. <br />4100 £ Therese Ave. <br />Fresno, CA 93725 <br />(559 5o <br />R 1 �432 <br />XP , l t t <br />uthorized Signature Date Authorized Signature <br />PAGE 16/25 <br />t <br />Tracg Document <br />DRIVER: <br />NB <br />ORDER# <br />18949 <br />SITE PHONE:209-830-3882 <br />PON <br />DVIO3015 <br />CONTACT: <br />DON WILCOX <br />DATE: <br />0411412005• <br />.$4 i41 <br />P/( Del <br />ti_17AL_ <br />waste Is <br />Signature <br />alifornis Medical Disposal, Inc. <br />100 Ii Therese Ave. <br />Fresno, CA 93725 <br />(559)-834-5850 <br />Reg. Haulers # 4461 <br />P TSlOST32 <br />�� X <br />nth t Signature <br />Date Authorized Signature <br />California Medical Disposal, Inc. <br />4100 E Therese A%,e. <br />Fresno, CA 93725 <br />(559)-834-5850 <br />Reg. Haulers # 4461 <br />PERMIT # TS/OST32 <br />h <br />AuthuAted Signature <br />Imo? <br />Date <br />X <br />Date <br />UN3291, FG 11, 6.2 <br />Thursday <br />Pru Del <br />Transporter <br />S-14 <br />S-22 <br />S-32 <br />WEIGHT <br />Container Quantity <br />e P/U Dei <br />CCPA <br />CCFH <br />S-14PH <br />S-22PH <br />S32 -PH <br />classified escri pa/ckyinged, marked and labeled, and <br />Date <br />California Medical Disposal, Inc. <br />4104 E Therese Ave. <br />Fresno, CA 93725 <br />(559)-834-5850 <br />Reg. Haulers # 4461 <br />PERM(T # TS/OST32 <br />X <br />Authorized Signature Date Recd <br />Authotired Signature Date Recd <br />