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-------------------------------------------------- <br />HAZARDOUS MATERIAL SHIPPING DOCUMENT <br />-------------------------- <br />Transporter Fresno(CA) <br />4135 W. Swift Ave <br />Fresno,CA 93722 <br />(866) 783-7422 <br />Permit Number: <br />-------------------------------------------------- <br />For Stericycle Customer Care <br />Call 1-866-783-7422 <br />Stericycle Customer # 6111852 <br />Site # 001 <br />-------------------------------------------------- <br />Gill Medical Center <br />1617 N California St <br />Stockton,CA 952046117 <br />REGULATORY #: <br />Phone #: (209) 451-9031 <br />Contact : <br />-------------------------------------------------- <br />SERVICE DATE: 4/29/2014 <br />-------------------------------------------------- <br />SHIPPING DOCUMENT #: MDFROOF07H <br />MDFROOF07H <br />UN3291, Regulated Medical Waste, N.O.S., 6.2, PGII <br />For DOT HAZMAT Emergency Response Call: <br />CHEMTREC 1-800-424-9300 <br />Customer No. 21132 <br />TOTAL CONTAINERS COLLECTED: 1 <br />TOTAL VOLUME COLLECTED: 5.900 CU FT <br />VOL <br />SUMMARY(Cont Type) QTY CF <br />TB14 44 Gal Tub(Bio), CT 12.7 lb 1 5.900 <br />------------------------------------------------- <br />00A006O TB14 <br />I hereby declare that the contents of this <br />consignment are fully and accurately <br />described above by the proper shipping <br />name, and are classified, packaged, marked <br />and labelled/placarded, and are in all <br />respects in proper condition for transport <br />according to applicable international and <br />national governmental regulations. <br />judy reyes <br />Generators Signature <br />Transporter Certification: Sal Flores <br />PC <br />Transporter Signature <br />