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FROM : LODI HEALTH CARE CENTER PHONE NO. : 2093685038 v. 25 1997 11:38AM P03 <br /> { II VIII T I <br /> Sil~081 wpats wacking System <br /> TAIL DAILY ACTIVITY SUPPORTING STATEMENT <br /> FROM JUNE 01 1997 THROUGH JUNE 30 1"7 <br /> DISTRICT NORTHERN CA. ACCOUNT! 0030320 AZEVEDO A ASGOC.fEABTWEST N.C. LOCI <br /> SERVICE TUB WEIGHT TUB WEIGHT TUB WEIGHT TUB WEIGHT TUB WEIGHT TUB WEIGHT <br /> DATE CHARGES NO IN LBS NO IN LOS NO IN LBS NO IN LBS NO IN LBS NO IN LBS <br /> 06103/77 65.00 85915 44.4 <br /> NET WEIGHT: 44.4 <br /> e <br /> 06110197 65.00 05449 3613 I' <br /> NET WEIGHT: 38.3 <br /> 06/17/97 65.00 85143 40.7 <br /> NET WEIGHT: 40.7 <br /> 06/24/97 65.00 B5502 35.9 <br /> NET WEIGHT: 35.9 <br /> TOTAL WEIGHT: 159.3 <br /> FOREIGN GARBAGE: 10 MED. RECORDSISHREDDIN6: .0 <br /> BIOHAZARDOUS 159,3 PATH\INCINERATE: .0 CKERMINCINERATE: .0 <br /> VERIFICATION OF PROCESSING <br /> Tlie undersigned as an agent of RFI MEDICAL WASTE SYSTEMS, verifies that the above <br /> material has been transported, treated and disposed of in accordance with Federal, State and <br /> local laws by authorized personnel. <br /> Lance Atencio Jane <br /> OperAt.ions Manager <br />