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♦; 1 <br /> �/dIFSP ATTACHMENT Tracking Document Number <br /> ACT' <br /> entironmental services <br /> Medical Waste Tracking Document <br /> �� USD !Lathrop High School Kimberly Wright <br /> P Facility Nipqr-1W Lathrop Rd Contact Name: <br /> LL 0 <br /> 03 Address: Lathrop, CA 95330 Phone: 209-825-0860 <br /> V' Shipping Description(s) a of Coni. Type site EstimaWeigted <br /> d �� 'Treatment <br /> UN 3291 Regulated Medical Waste 6 2. PG II <br /> UN 3291, Regulated Medical Waste.6.2,PG II + <br /> (Pethologicef Wasle) <br /> S <br /> UN 3291,Regulated Medical Waste.6.2,PG II <br /> (Chemotherapy Waste) <br /> Expired Pharmaceuticals <br /> Non-Regulated <br /> Other(specify). <br /> 'A=Autoctave, f=Incineration.M=mjcrawave <br /> Advanced Chemical Transport,Inc. <br /> z <br /> 4 Motor Career Permit 0194741 <br /> A CA Hazardous Waste Registration 4026 <br /> n EPA IDft CAR000070540 <br /> _ ❑ 1210 Elko Dave ❑ 2018 Mission Ave. ❑ 265 Riggs Avenue ❑ 13722 Garmenita Road Santa Fe <br /> Sunnyvale,CA 94089 Escondido,CA 92029 Merced,CA 95341 Spnnys.CA 90670 <br /> 408-548-5050 760-489-5600 209-722.4228 714-545-2191 <br /> MWTS Permit#TS-42 MWTS Permit#TS-ft MWTS Permit#TS-100 MWTS Permit#TS-8 <br /> - Signature: - Date: <br /> K <br /> Name: <br /> Address- <br /> Phone#: Signature Date: <br /> This Is to certify that the materials described above are properly classified.packaged, marked and labeled and are in proper <br /> CCondition for transportation in accordance with the applicable regulations of the United States Department of Transportation and <br /> the State of California. <br /> L ' {. 24-hr Emergency <br /> Signialure. Print Name: Phone# 888.765.7225 Date: <br /> ❑ ewhww Servca4 Wef1e MenepMlenHeanrrare Cavus Bev fnel4v <br /> MGMGM vYeete dear w Sa,fions ❑ 3200 r+fwkns RwC ❑ Omer <br /> 4690 E Lwcm Aw 4296 5mmum 0" Ba%rwe.W;21225 <br /> FQ~[&Norma 43625 Vemm CA 9DOM 416k354-3229 <br /> 555434.3333 323-307-0514 P& M! 2611-WM,-0036 <br /> tx1 Permd•T539 PemNl 0 MOST-01 <br /> THIS IS TO CERTIFY THAT THE WASTE IDENTIFIED ABOVE WAS <br /> RECEIVED AT THE DESTINATION FACILITY CHECKED ABOVE. Sgnature& Date <br />