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ACT <br />Advanced Chemical Transport <br />tracking Document Number: <br />(-WO2675-106 <br />09/12/2011 <br />Medical Waste Tracking Document <br />GENERATOR INFORMATION <br />Facility Name: Rabobank N.A. Contact Name: <br />Address: 635 S Aurora Street, Stockton, CA 95203 Phone: (209) 557-8581 <br />SHIPPING INFORMATION (A= Autoclave, 1=Incineration, microwave) <br />1210 Elko Drive <br />Sunnyvale, CA 94089 <br />Phone (408) 548-5050 <br />MWTS Per# TS -42 <br />Nome: <br />Address: <br />Phone: <br />Transporter: Advanced Chemical Transport, Inc. <br />California Hazardous Waste Registration # 4026 <br />❑ 2213 Meyers Avenue <br />Escondido, CA 92029 <br />Phone (760) 489-5600 <br />MINTS Per#TS-64 <br />This is to certify that the materials described above are pl <br />with the applicable regulations of the United States <br />Department of Transportation and the State of California. <br />(It= Treatment, Ts=Transfer) <br />SecondarlTransporter: <br />nature & Date <br />Destination Facility: <br />Signature & Date <br />are in proper condition for transportation in accordance <br />rel 8W'785_"722_ y_ <br />❑ Stericycle, W. <br />Shipping Description(s) <br />Number of <br />Containers <br />Container <br />Type <br />Estimate <br />Weight <br />Actual <br />Weight <br />Treat - <br />ment <br />X <br />Regulated Medical Waste 6.2, UN 3291, PG It <br />X 37g <br />Bio DF <br />p <br />ZS p <br />A <br />2775 East 161h Street <br />Regulated Medical Waste 6.2, ON 3291, PG II (Pathological Waste) <br />7501 Stale Highway 65 <br />Sun Valley, CA 91352 Atwater, CA 95301 <br />Vernon, (A 90023 <br />(510) 636-9502 <br />Anahuac, TX 77514 <br />(818) 504.0343 <br />Regulated Medical Waste 6.2, ON 3291, PG II (Chentotherapy Waste) <br />(323) 362-3000 <br />MINTS Fort 19-23-P <br />(888) 877.8103 <br />MWTS Per# TS/OST <br />20 MWTS Peri TS -45 <br />MINTS Pert p-115 <br />Non -Regulated or Expired Pharmaceuticals <br />Permit# TNRCC nSW82239A <br />j other: Ster3cycle, Inc. <br />—Tr / Ts Facility (5 59) 275-0992 <br />Other (specify): <br />4135 W. Swift <br />Ave, Fresno, CA 93722 <br />CHECKED ABOVE. <br />1210 Elko Drive <br />Sunnyvale, CA 94089 <br />Phone (408) 548-5050 <br />MWTS Per# TS -42 <br />Nome: <br />Address: <br />Phone: <br />Transporter: Advanced Chemical Transport, Inc. <br />California Hazardous Waste Registration # 4026 <br />❑ 2213 Meyers Avenue <br />Escondido, CA 92029 <br />Phone (760) 489-5600 <br />MINTS Per#TS-64 <br />This is to certify that the materials described above are pl <br />with the applicable regulations of the United States <br />Department of Transportation and the State of California. <br />(It= Treatment, Ts=Transfer) <br />SecondarlTransporter: <br />nature & Date <br />Destination Facility: <br />Signature & Date <br />are in proper condition for transportation in accordance <br />rel 8W'785_"722_ y_ <br />❑ Stericycle, W. <br />❑ Chambers County Resource <br />❑ Sanitec USA <br />❑ Soaltec USA <br />❑ Steriryde, Inc. <br />Tr/Ts Station <br />Recovery and Recycling Facility <br />Tr/Ts Facility <br />Is Station <br />Tr/Ts Station <br />1345 Doolittle Drive, Suite C <br />Tr/Ts Station <br />9065 Norris Avenue <br />2900 Apron Avenue 81260 <br />2775 East 161h Street <br />San Leandro, CA 94577 <br />7501 Stale Highway 65 <br />Sun Valley, CA 91352 Atwater, CA 95301 <br />Vernon, (A 90023 <br />(510) 636-9502 <br />Anahuac, TX 77514 <br />(818) 504.0343 <br />(209) 388.0285 <br />(323) 362-3000 <br />MINTS Fort 19-23-P <br />(888) 877.8103 <br />MWTS Per# TS/OST <br />20 MWTS Peri TS -45 <br />MINTS Pert p-115 <br />MWTF Pert 37-48-P <br />Permit# TNRCC nSW82239A <br />j other: Ster3cycle, Inc. <br />—Tr / Ts Facility (5 59) 275-0992 <br />THIS IS TO CERTIFY THAT THE WASTE IDENTIFIED <br />ABOVE WAS RECEIVED AT THE DESTINATION FACILITY <br />4135 W. Swift <br />Ave, Fresno, CA 93722 <br />CHECKED ABOVE. <br />MWTC Per# 10 -R -P / MWT F Pm* 10-43-P <br />Date <br />