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ACT Advanced Chemical Transport tracking Document Number: (:V0?625-t#6i 09/12/2011 Medical Waste Tracking Document GENERATOR INFORMATION Facility Name: Rabob;uik NI .A. _ Contact Name: Maureen Fairight Address: 635 S AurDra Street, Stoe:4,toti, C'r19s203 Phone: (20) 557-$331 SHIPPING INFORMATION (A= Autoclave, [=Incineration, M=Microwave) ❑ 1210 Elko Drive Sunnyvale, (A 94089 Phone(408)548-5050 MWTS Per # TS -42 Name: Address: Phone: Transporter: Advanced Chemical Transport, Inc. California Hazardous Waste Registration # 4026 ❑ 2213 Meyers Avenue Escondido, (A 92029 Phone (760) 489-5600 MWTS Per# TS -64 This is to certify that the materials described above are properly with the applicable regulations of the United States Department of Transportation and the State of California. (Tr= Treatment, Ts=Transfer) Secondary Transporter: Signature & Data Signature & Date Generator's Certification: classified, packaged, in rked and labeled and are in slanature $ Date Destination Facility: condition for transportation in accordance c°%'L;�, -7eS': 7225 ❑ Sterlcycle, Inc. Shipping Description(s) Number of Containers Container Type Estimate Weight Actual Weight Treat - ment Tr/Ts Facility Regulated Medical Waste 6.2, UN 3291, PG II X 37g Bill DF p f? :1 2775 East 26th Street Regulated Medical Waste 6.2, UN 3291, PG II (Pathological Waste) 7501 Slate Highway 65 Sun Valley, CA 91352 Atwater, CA 95301 Vernon, CA 90023 (510) 636.9502 Anahuac, T%17514 Regulated Medical Waste 6.2, UN 3291, PG II (Chemotherapy Waste) (209) 388.0285 (313) 362.3000 MWTS Perk 19-23-P (888) 877.8103 MWTS Per,# TS/OST 20 MWTS Per#TS-45 Non -Regulated or Expired Pharmaceuticals M99TF Per#37-48-P Permit#TNRCC MSW#2239A Y Stericyclejac.. Other (specify): THIS IS TO CERTIFY THAT THE WASTE IDENTIFIED , 0 Other: ABOVE WAS RECEIVED AT THE DESTINATION FACILITY ❑ 1210 Elko Drive Sunnyvale, (A 94089 Phone(408)548-5050 MWTS Per # TS -42 Name: Address: Phone: Transporter: Advanced Chemical Transport, Inc. California Hazardous Waste Registration # 4026 ❑ 2213 Meyers Avenue Escondido, (A 92029 Phone (760) 489-5600 MWTS Per# TS -64 This is to certify that the materials described above are properly with the applicable regulations of the United States Department of Transportation and the State of California. (Tr= Treatment, Ts=Transfer) Secondary Transporter: Signature & Data Signature & Date Generator's Certification: classified, packaged, in rked and labeled and are in slanature $ Date Destination Facility: condition for transportation in accordance c°%'L;�, -7eS': 7225 ❑ Sterlcycle, Inc. ❑ Chambers County Resource ❑ Sonilec USA ❑ Sanitec USA ❑ Slerlcycle, Inc. Tr/Ts Station Recovery and Recycling Facility Tr/Ts Facility Ts Station Tr/Ts Station 1345 Doolittle Drive, Suite C Tr/Ts Station 9065 Norris Avanue 2900 Apron Avenue#1260 2775 East 26th Street San Leandro, CA 94577. 7501 Slate Highway 65 Sun Valley, CA 91352 Atwater, CA 95301 Vernon, CA 90023 (510) 636.9502 Anahuac, T%17514 (818) 504-0343 (209) 388.0285 (313) 362.3000 MWTS Perk 19-23-P (888) 877.8103 MWTS Per,# TS/OST 20 MWTS Per#TS-45 MWTS Par# p-115 M99TF Per#37-48-P Permit#TNRCC MSW#2239A Y Stericyclejac.. —Tr / T-_ Fmil1ty (559) 275-0991 THIS IS TO CERTIFY THAT THE WASTE IDENTIFIED , 0 Other: ABOVE WAS RECEIVED AT THE DESTINATION FACILITY 4135 W. Swift Ave, Fresno, CA 93722 CHECKED ABOVE. 1T�U'fS Pre0 f 0 -R -P / 7VTGVI-r Peril 10-43-P Signature & Date