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• <br /> NON-HAZARDOUS WASTE SHIPPING DOCUMENT <br /> 0�� Stericycle® Phone:866.783.7422 <br /> Website:www.stericycle.com <br /> • Protecting People. Reducing Risk: <br /> Generator's Name,Address& Telephone Nun r � <br /> U i - SDS f r1G . <br /> oo - s X703 <br /> NA AtJTf-� I% °l �� -- <br /> Customer# V -5`� O2 'o o <br /> Waste Description Number of Containers Total Cubic Feet <br /> .• <br /> Non-RCRA Waste <br /> (photochemical/photoprocessing waste) DWI ICAO <br /> L� Gallon <br /> Universal Waste(containing Mercury& <br /> Aqueous Solution)(Dental Amalgam) DW21 Gallon <br /> Universal Waste From Dental X-Ray <br /> Unit(Scrap Metal Lead Foil) DW03 LBS <br /> GENERATOR <br /> Print Name: <br /> Signature: <br /> Date: 13 2� 6 <br /> DRIVER <br /> Print Name: J { <br /> I <br /> Signature: ,/� <br /> Date: L/ '0 <br /> N <br />�C <br /> O <br /> RETAIN COPY FORTHREEYEARS <br /> 001.93-VN(REV 1118) <br />