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FROM LODI HEALTH CARE CENTER PHONE NO. : 2093685038 v. 25 1997 11:39AM P05 <br /> 0 <br /> WdIcal Wade Sydem" <br /> 810TRACK7 <br /> 9F►Modini Wag&Tracking$ygtom <br /> IM AIL nALLY' AICTIVITY SUPPORTING STATYMENT <br /> PROM APR 01 1997 THROUGH APR 30 1997 <br /> VISTRICT NORTHERN CA. ACCOUNT: 0030320 AZEYEDO A ASSOC./EASTWEST N.C. LOC: <br /> SERVICE TUB WEIGHT TUB WEIGHT TUB WEIGHT TUB WEIGHT TUB WEIGHT TUB WEIGHT <br /> DATE CHARGES NO IN LOS NO IN LBS NO IN-LPS NO IN LOS NO IN LOG NO IN LBS <br /> ------- ------- ----- ------ ------ ----- ...... ------ ...... ----- ------ <br /> 04101197 65.00 80340 2913 <br /> NET WEIGHTI 2913 <br /> 04108/97 65.00 85737 57.7 <br /> NET WEISHTi .57.7 <br /> 04115197 65.00 84664 37.1 <br /> NET WEIGHT: 37.1 <br /> 0412287 65.00 05510 44.5 <br /> NET WEIGHT! 44.5 <br /> 041271q7 65.00 B2062 72.5 <br /> NET WEIGHTi 72.5 <br /> TOTAL WEISHTt 241.1 <br /> FOREISN GARBAGE: .0 MED. RECORMSHREDDINS. <br /> 1110HAZARDOUS 241.1 PATHUNCINERATE: .0 CHEMOUNCINERATE; <br /> ......... <br /> VERIFICATION OF PROC ESSING <br /> The undersigned as an agent of RF1 MEDICAL WASTE SYS'T'EMS, verifies that the a1)()vL- <br /> material has beets transported, treated and disposed,of in accordance with Pedes), Statk- and <br /> local laws by autt►c'rized personnel. <br /> / ALAI-�- 05106/97 <br /> Sums L.Farr1r. I)atp <br /> District Viet-Primident <br />