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Icall Waste s* <br />S%em <br />FACILITY NO. gg <br />45432 <br />1111111111111 <br />Mill NO. <br />��i��� ROUTE <br />TRACK'" II �5uca�- <br />BF1 Medical Waste Tracking S <br />TICKET NO. � s '' stem <br />C01,1'1'7iC"°1' <br />4669389 <br />DATE:/� 'C <br />02// 06/95 Trot <br />12 <br />SINGH DIALYSIS TUC ACCP: �10�4523 i'1.11;E DE_z't11=Z`L'Ei:):P�--= <br />1 <br />2350 N. CALIFORN7.A STREET LOC CODE: <br />STOCKTONICA 95264 STANDARD COIN` AI14ER T1VVL1q'L`()FtY PHONE 209-943-0854 & D 0 00 <br />MAP <br />l� <br />E� PECTi ED UTILTZi' T10i'd `jqj- E ; lli <br />PAGE C'�043F,2 <br />Regulated medical waste, 6.2, NA9275, PGII ' <br />#45Q2 TICKET: 4,669389 <br />1 � 1 ...pSI�HDi1�Y�►�,.lt�: <br />—� Q210619$ L 06t 24- y , E_JC <br />2 I CONTAINERS COLLECTED � <br />-- 1 84622 83650 85109 B0752 <br />3• 2 B0254 <br />TOTAL COLLECTED: 5 <br />4. 5 B <br />i TOTAL DELIVERED: 5 <br />5B <br />5. DEPARTED: 06:37 <br />6. — <br />This is to certify that the above named materials are properly - <br />classified, packaged,marked and labeled and are in proper <br />condition for transportation according to the applicable <br />regulations of the Department of Transportation. <br />( Customer Signature (not required) p <br />OUTSIk?E STORT�GE.' CO1O Tu', 45,23. _..�.. <br />BFI MEDICAL WA <br />� i�'� � � `� « ,�, � ,� ` • <br />STE SXSTEMS <br />;z <br />9719 Lincoln Village Drive i OTHER- <br />Suite <br />THER,Suite 501 <br />Sacramento, CA 95827 <br />(916) 364-8872 r. <br />Transporter Registration #2113 <br />/ 14,t Transporter Dat. <br />I r. <br />❑ BFI MEDICAL WASTE SYSTEMS ' <br />OTHERMWICAL <br />,✓ <br />366-8 Greenville Road . B�"Z <br />Livermore; CA 94550 WMTE'8ySq"EM5Initial <br />(510) 449-9323 <br />11875 WHITE ROCK ROAD Date received at Transfer Station <br />MWTS Permit #001221'-3 RANCHO COVA; CA 9574 <br />°016)364-8872 <br />' 2nd Transporter (if applicable) <br />Date <br />i3 I:j' 4 >.'' #SII' ' <br />�'� ..' <br />[� BFI MEDICAL WASTE SYSTEMS <br />11875 White Rock Road 4 7L==J:,OTHER <br />Rancho Cordova, CA 95742 $E° 'MICAL WASTE SYSTEMS <br />(916) 364-8872 4 :35 .W. sw:[rT AVE.` <br />MWTF Permit #99-00072-P 4209)275-0992 <br />Treatment by incineration $ PEMUT 90-00043^P Authorized Signature <br />This is to certify that the waste described herein has been treated in accordance with all applicable laws and regulations. <br />OFNEIATOR ` PY <br />