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Brows By Michelle Grace PR0545320 <br /> 37 W Yokuts Ave. Suite#138, Stockton CA, 95207 <br /> March 27, 2025 <br /> Photo 8: Waste manifest for most recent pick up, 6/16/24. <br /> /olde?VFFMF6PVFtks to <br /> f, IVo ernirient health ha;,irds- - <br /> i <br /> WASTE:MANIFEST&TRACKING DOCUMENT MANIFEST TRACKING <br /> UK 3291,REGULATED MED4CAL WASTE,n.o.s.,6.2,PG it NUMBER: <br /> Solutions MA 21030 <br /> 1.GENERATOR'S NAME COMPLETE ADDRESS AND TELEPKONE 2.GENERATOR(Mailer)CERTIFICATION <br /> I certify that the information provided is true and correct,that the contents of this <br /> consignment are fully and accurately described below by propershipping name and <br /> are classified,packed,marked and labeled and in proper condition fortranspoit by air <br /> according to the applicable national governmental regulations.f also certify that the <br /> attached container has been approved for sharps waste mailing,has been prepared <br /> for mailing in accordance with the directions for malting ofsharps waste and does not <br /> Michelle Tabancura contain excess liquid or non-mailable matedal in violation of the applicable postal <br /> 2-a44Buckner CT regulation. 1 am aware that full responsibility rests with the generator(mailer)forany <br /> violation of 1 B USC 1716 which may result from placing improperly packaged items in <br /> StcrMn,CA 95207-2302 the mall. <br /> Panted Name <br /> 3. wan,_=5-quart,_3-gallon, 18-gallon, 28-gallon SIGNATURE DATE <br /> Container.Regulated Medical Waste,LN 3291 <br /> DIRECTIONS FOR GENERATOR(MAILER) ;Cplinent SCCtiOn j ___ <br /> • Fili out above information completely. _ - <br /> • sign and dale number 2(Mailer Certification) <br /> Keep bottom copy of this Iorm for your records. <br /> • Put this Tracking form in the zip lock bag located on the <br /> side of the box and seal. <br /> Disposal Site _ To be completed by disposal site. . <br /> Printed cenirication of receipt and incineration-"1 certify that the contents of this <br /> containerhave been received,treated and disposed of in accordance with all local, <br /> state,and Federal regulations.' <br /> Disposal Site Rapresentative <br /> Print Name <br /> Signature <br /> Date <br /> 24 hour EmergencV Response Phone umber:800-255-3924 ti <br /> Alexander Cruz, EHS 8 <br />