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IIAZAIAK#IS MATERIAL *;1IIVPIW; IA)CUMINI
<br />TRANSPORTER:Stericycle, Inc.
<br />4135 West Swift Ave.
<br />Fresno, Ca 93722
<br />(559) 275•i994
<br />24 HOUR E.F RGFNC4 : 1-8UU-2-34-lNlfil
<br />GENERATOR ACCOUNT 9: 6018549-002
<br />Ka iser/West
<br />7373 West Lane
<br />Stockton - CA 952103377
<br />(209) 476-5444
<br />SLRVICE UA1E. 061281 12:21:00 PM
<br />SHIPPING DOCUMENT tf : MDFR003XX4
<br />(HU-ATFO MEDICAL WASTE 6.2, UN31?91. PGI I
<br />TO !%AIN:HS COLLECTED: 59
<br />iOiAT�I *. COLLECTED: 348.1 CU fT
<br />VOL
<br />SUMMARY(By ContType) QTY CF
<br />TOM 44 Gal Tub(Bio), 59 348.1
<br />uok l l I T814 (AIAUi 12 T614 OOAU 113 T014
<br />UOAO 114 IB14 OOAO 115 TO 14 (AlAU 116 1814
<br />OOAO Ii? TO 14 OOA0118 TO 14 UUAO119 14314
<br />OOAU'I I A r814 OOA0110 TB14 OOAO i IC IB14
<br />UOAU 1IlP 1014 O(1AOIHQ T814 OUAOIIiR TO 14
<br />Iu1A01HS TO 14 UOWIHT TO 14 OOA0IHU TO 14
<br />OOAO1HV 1814 WA0110 T814 OOAO 11E TO 14
<br />OOAO IIF 1014 OOAO IIG TB14 U0AOII I TOM
<br />OOAO 1 I J TO 14 OOAO I I K TB14 OOAO I I L T014
<br />OOAOI 10 TO 14 OOA01 IN T814 OOAU I I M TO 14
<br />OOA0IIY TOM OVAO1IZ T014 OOA01JO TO 14
<br />UOAUIIX IB14 OOA01IW T814 uOA0IIU TO 14
<br />(IOAOIIP IB14 OOAO1I0 T814 OUAI)IIR 1814
<br />(1()AQjlj&tO14 OOAOIIT TB14 OOAO IIU 1614
<br />OUA04 OOAUTA2 T814 OOAO IM 1B14
<br />OR,
<br />14 OOAO iA4 TO 14 OOAU1A6 1014
<br />OOAOIA7 TON OOAOiA8 T814 OUA01A9 T814
<br />OOAO IAA 1014 OOAOIAB T814 OOAO IAC TO 14
<br />OOAOIAH 1814 OOAOIAN T814 OOAOIAO 1814
<br />OUAOiAL IB14 OOA01AK TB14
<br />I helr:Ly de"lar'e that tfle callents of Uri:
<br />cunsiglvselil are fully and acwrately
<br />11-11;bed aLove by 11w proper Jdpping
<br />Iranrc:, awl ale classified, pat)agrd, Ixaltl•d
<br />and lakd ledlplacarded, and are in -T l
<br />eap,r.1, in proper condi tion fur I,a ipulI
<br />a..unling to applicable interlraliunal and
<br />national governmental regulatims.
<br />food A/�%
<br />TOR AGENT PRINT MAW
<br />X
<br />E
<br />IIAIAlINiS MA TER I AL. SHIPPING OUCUN III
<br />lItJBlSPORTER:4135 West Inc.
<br />4135. West Swift Ave.
<br />Fresno, Ca 93122
<br />(559) 275-0994 49�
<br />m 110? ENLICANLY PHONE; 1-8(0,1;34-0051
<br />GEPCRATOR ACCOUNT N: 6018549-002
<br />Kaiseiifest
<br />1373 West lame
<br />Stod tun CA 952103377
<br />(209) 476-5444
<br />SERVICE DATE 06130)06 17 17:00 AN
<br />SHIPPING O(CUMENT q; NDFR003Y4C
<br />RE111AIED MEDICAL WASTE 6.2, 1813791 PGII
<br />TOTAL CONTAINERS COLLECTED: 44
<br />TOTAL. UOC.UME CULLECTED: 369.4 CU f f
<br />VO
<br />SUMNARY(By ContType) QTY CF
<br />1814 44 Gal Ttb(Bio), 26 153.4
<br />TO57 90 Gal Tub(Bio)CT 18 216
<br />uOnu;JP 16 Ill
<br />OOAO IJO 1814 uUAOIAt 11,, 14
<br />wtto l J1 T6114
<br />OOAO I JT T014 titIAM1 T8 141
<br />IIOAUIJU lbi4
<br />OOAOIA 1814 01JAO JX 1814
<br />1A)iUiJY TU 14
<br />OOA01J7 TB14 OOAuIK(e 1814
<br />OJOAUILD 1814
<br />OOAOiLE IB14 OOAOILF IB14
<br />OOA01LG TO 14
<br />OOAOiLH T014 UOAOILI TO 14
<br />OOAOILJ 1814
<br />OOA01LK TBi4 OL011.I, 113I4
<br />OOA01LN TO 14
<br />OOAO1LN T614 (.0X1) 110 TO 14
<br />OOAOILC T814
<br />OUA01DM TB14 OIJAOILi IBsr
<br />OA)A(IIL2 TB57
<br />OOAOIL3 TB57 00A011.4 T057
<br />tuklt-5 1861
<br />OOAO11-6 1057 1umiti TB51
<br />UTA011. 8 105?
<br />UOAOIL9 TB57 IkIAOILA 1051
<br />ia)AUILB IB51
<br />WA01LC TB57 01 1A1011 1Btu,
<br />tAlX 100 1851
<br />OOAOiKA TB57 it klikO iLb,,
<br />UOAOIKL 1857
<br />OOA01K9 TB57
<br />1 hereby del -{die
<br />that the W110111 01 thin.
<br />tanlsiument are fully and 'act:w ately
<br />Hese, ibed above by tfre pruper shil.y.nlg
<br />now, , and alc
<br />classified, pallaUed. ;,144Pd
<br />all labelled
<br />placarded, and are in all
<br />In
<br />plupel condltluh To, liallapurl
<br />(u
<br />applicable inteUietit' ial aur
<br />oaticalal guvenaaental regulations.
<br />,Q," -,S Mel: -AGE �d4
<br />X
<br />2� RAT�i NT PRINT
<br />_
<br />nurunii7cn clru_ r1,
<br />1411VER: PARRA, RENE VV
<br />I hereby declare that IIIc Wltrrnta r 1 r.
<br />cae,iglwlent are fully and acwrately
<br />tw a &J above by the proper ;hipping
<br />naiu and are ^lass 1fied, pacl,vjcd, alaltl(1
<br />and labelled/placarded, and are ill all
<br />reap.,.t�
<br />ill proper cutditiun iul tlanspull
<br />ar,.unling to applicable international and
<br />national govelliftntal regulations,
<br />to fisf
<br />f pTpT AGENT PRINT NAME
<br />X
<br />WASIL llIr1NSFER DATE:.---_..)_. )_
<br />I _TINTS IS A IIV AJUll SIIIPMFNI
<br />LESTI ION FACILITY:
<br />j_1, STERICYCLE INC -
<br />FRESNO, CA
<br />SItRIcYCLE INC
<br />OTH SAt I I UI
<br />_j
<br />SftHICVCLE INCSAN
<br />LEAHBIM, LA
<br />SIERICYCLE INC -
<br />—�
<br />VERNON, CA
<br />DATE OF HECEIVI AT
<br />DRIVER: PARKA, RENE IREAIMENT FACILITY:
<br />Al I Vt IN 0.11( ill1 0: PUtR00:IY4C
<br />X
<br />ATUR TOTAL IIEI.IVEft(_0 ITEMS: 66
<br />ITEM O IY
<br />WASiL TRANSFER DATE: 1 !
<br />--- - — 1814 44 liar Ttb(Hio) C 66
<br />I—ITHIS IS A IH30JGII SIIIPMENI
<br />DES ON FACILIiY:
<br />SIERICYCLE INC FRESNO, CA
<br />STFRICYCIE INC NORTH SAI.; L, UI
<br />j_ISIERICYCLE INC - SAN LEANDRO, CA
<br />STERICYCLE INC - VERNON, CA
<br />DATE OF RECEIPT AT
<br />TREAIMENT FACILITY:
<br />U
<br />;j
<br />C
<br />
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