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:SS TUN 19, 2803 TO: BRIAN <br />FR: SCOTT SMALLEY #61394 PAGE: 4 4 <br />F_t Id: Manifest BioTrack Staging Area <br />F _inDate: 6/19/02 <br />Manifest Info <br />C_ist-Site: 6017166-001 Chateau Convalescent <br />Document: MD00074013 1221 Rosemarie Ln <br />Stockton , CA 952076703 <br />Manifest Summary Info <br />Date 02/15/02 <br />Total Containers . 1 <br />Total Snit. at Billing 0 <br />T�Dtal Cont Weight. 18.1 <br />_rrivaI 08:01 AM <br />'r,; i-tr;re . 08:04 AM <br />-Iad Batch No 5064A384 <br />e 1;0 425 <br />ontair.er Id Code Weight UOM <br />5064601716600100A003U TB14 18.1 LB <br />Certification: This document represents the information provided in the original manifest. The <br />material listed on the manifest #'s detailed above (Regulated Medical Waste) has been treated in <br />accordance with the requirements of Federal, State, and local regulations governing the treatment <br />Of such waste. A certificate, applicable manifests, and the appropriate logs will remain on file <br />�N ith Stericycle, Inc. <br />Stericycle, Inc. <br />9188 Glenoaks Boulevard, Suite 300, Sun Valley, California 91352, Phone (800) 953-9324 Fax (818) 252-6622 www.stedcycle.com <br />