Laserfiche WebLink
0 <br /> SharpsTRACER Manifest: 3705840 Weight(lbs): 13.55 <br /> I certify that the contents of this container <br /> have been received,treated,and disposed <br /> of in accordance with all local,state,and federal regulations. <br /> Date Received:5/1/2012 <br /> /s/Meghan Weisel <br /> The medical waste was treated In accordance with 25 TAC§1.136 <br /> Permit 1741A <br /> Treated on 5/1/2012 4:38:00 PM-AC <br /> Batch i-2611a-Cycle 2611 <br /> Meghan Wcisel <br /> t'v ill\ <br /> 3705640 <br /> SHARPS. <br /> SII 18f1 <br /> Compliance,Inc. 3705840 <br /> TakeAwayTm Recovery System Tracking Document <br /> Complete sections 1 through 6 on this triplicate form.Keep"Shipper(bottom)copy <br /> of completed form for your records,place remaining copies in the plastic pouch on <br /> the outside of the box Read and follow the packaging instructions Included In the <br /> shipping box. <br /> I.Shippers printed name,complete address E telephone; <br /> Quan Yo Anh Nguyen DDS / p ill A 1--ev-0- lC*1:l-4—t ee <br /> 1110 V)eA- y-f- eV-AK LA.a w "- <br /> Saecktnn.tA S.SZ4J I-C)o i o GAS q 572-q-0 TT <br /> C2o91 2.2.x- ftp <br /> Product-85000 <br /> 2. Description of contents: <br /> 3. Signature of person completing this form: <br /> 4. Date of shipment. 0+11*x. L7- <br /> 5, <br /> _5. Weight of packaged boat_ 16 t 6 S .� <br /> Comments or additional information added by Shipper: <br /> TO BE COMPLETED BY SHARPS CO CE TRE41 MENTiPROCESS/NG FACILITY <br /> Printed ca if ell n of receipt and processing:'I cer*Chet the contents of this contaftwheve <br /> been received,treated and processed in accordance with bcat state,and federal <br /> TrestmentlProcessing Faculty T"SatraGnt/Prometrig Facility Representative <br /> Sharps Environmental Printed Name* <br /> Services <br /> 1544 NE Loop Signature' <br /> Carthage,Texas 75633 Date Received. <br /> Date Processed: <br /> ! <br /> Treatment Method: <br /> Weight: <br /> MH 1741 TAGS R-1620 If section above Is blank,pies"reference <br /> 91100"nic slgnalum at the top of this documenL <br /> IN CASE OF EMERGENCY OR DISCOVERY OF DAMAGE OR LEAKAGE, <br /> CALL 1.800.772.5W <br /> Pad#100472 Rev C <br /> WhIte-Flle!Pink-Fila I Yelk»v-Shipper <br />