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San Joaquin County Operations <br /> Agli]WR. . ® Medical Waste Tracking Form <br /> Date: 'L- <br /> Pick Location <br /> 0`1709 S. Stockton Street, Lodi, CA ❑455 W. Beverly Place,Tracy, CA <br /> ❑400 S. Fresno Avenue, Stockton, CA ❑ 730 N. Union Street, Stockton, CA <br /> 1:12060 E. Main Street, Stockton, CA ❑Other: <br /> Drop-Off Location <br /> ❑1709 S. Stockton Street, Lodi, CA ❑455 W. Beverly Place,Tracy, CA <br /> IN00 S. Fresno Avenue,Stockton, CA 1:1730 N. Union Street,Stockton, CA <br /> F-1 2060 E. Main Street, Stockton, CA ❑ Other: <br /> Medical Waste Description <br /> Quantity Container Type <br /> 40 gal- Bio Hazard Bag <br /> Sharps Container <br /> Other: <br /> Other: <br /> Transport Personnel <br /> Print Name ature <br /> Medical Waste Transportation Form Revised.5-23-12 <br />