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Medlc(31 WcWe Systems <br />FACILITY NO. <br />45432 ' ROUTE NO. <br />I lllllii iiiwi iiriii iiiwi iiiii iwii iiiii ISOO -16 <br />13IOTRACK <br />OR Medical Waste Tracking System CONTACT cjjUj< <br />TICKET NO. <br />4670514 <br />Is Is to certify that the above named materials are properly <br />-classified, pack 49ed,_,`;1erked,and:IabeIed and riproper <br />, <br />condition for transportation according to the applicable <br />regulations of the Department of Transportation <br />OUTSIDE STORAGE COMBO <br />1 -1 -W -F CLOSE& AT 10: 30 PM <br />TUE-THUR CLOSES AT 630TW1', <br />BFI MEDICAL WASTE SYSTEMS ED <br />9719 Lincoln Village Drive <br />Suite 501 <br />Sacramento, CA 95827 <br />(916) 364-8872 <br />Transporter Registration #2113 <br />❑ 13171 MEDICAL. WASTE SYSTEMS <br />366-B Greenville Road <br />Livermore, CA 94550 X1875 <br />(510)449-9323 - RIANCH( <br />MWTS Permit #00122P.3 (91W1 <br />&AWma r <br />Customer Signature (not required) Date <br />WASTE SYST014S <br />ROCK 'ROAD Initial Date received at Transfer station <br />VA, CA 95742 <br />21 <br />_,.?nd Transporter (if applicable) Date <br />7 <br />F-] BFI MEDICAL WASTE SYSTEMS <br />11875 White . Rock Road OTHER <br />Rancho Cordova, CA 95742 BFI MEDICAL WASTE SYSTEVS <br />(916)364-8872 4135 Wf' $WIFT AVE. <br />MWTF Permit #99-00072-P (209)275-0992 <br />Treatment by incineration PFMT,, #99-00043—P Authorized Signature Date <br />This is to certify that.the waste described hereina f been treated I in accordance with all applicable laws and regulations. <br />MWERAroll COPY — <br />TIME <br />ARRIVE'D <br />SINGH DIALYSIS INC <br />ACCT: 00045213 TI14E <br />D2P.AP,1j,Ej: <br />2350 N. CALIFORNIA STREET <br />LOC CODE: <br />STOCKTON CA 95204 <br />STANDARD CONTAINER INVENIJ,Oxy <br />PHONE 209-943-0854 <br />6 B 0 0 0 <br />EXPECTED UTILIZATION THIS DPA' <br />0 <br />MAP PAGE CV043A2 <br />5 B 0 0 <br />Regulated medical waste, 6.2, NA9275, PGII <br />#45432 TICKET: 4670514 <br />SINGH <br />2. <br />p2109195 _3 <br />MNT4jjC.RS, COLLECTEDt"It <br />3. <br />1 84511 65615 B4375 85700 <br />4. <br />2 85335 <br />TOTAL COLLECTED: 5 <br />5B <br />TOTAL DELIVERED: 5, <br />5. <br />5 B <br />6. <br />Th' <br />Is Is to certify that the above named materials are properly <br />-classified, pack 49ed,_,`;1erked,and:IabeIed and riproper <br />, <br />condition for transportation according to the applicable <br />regulations of the Department of Transportation <br />OUTSIDE STORAGE COMBO <br />1 -1 -W -F CLOSE& AT 10: 30 PM <br />TUE-THUR CLOSES AT 630TW1', <br />BFI MEDICAL WASTE SYSTEMS ED <br />9719 Lincoln Village Drive <br />Suite 501 <br />Sacramento, CA 95827 <br />(916) 364-8872 <br />Transporter Registration #2113 <br />❑ 13171 MEDICAL. WASTE SYSTEMS <br />366-B Greenville Road <br />Livermore, CA 94550 X1875 <br />(510)449-9323 - RIANCH( <br />MWTS Permit #00122P.3 (91W1 <br />&AWma r <br />Customer Signature (not required) Date <br />WASTE SYST014S <br />ROCK 'ROAD Initial Date received at Transfer station <br />VA, CA 95742 <br />21 <br />_,.?nd Transporter (if applicable) Date <br />7 <br />F-] BFI MEDICAL WASTE SYSTEMS <br />11875 White . Rock Road OTHER <br />Rancho Cordova, CA 95742 BFI MEDICAL WASTE SYSTEVS <br />(916)364-8872 4135 Wf' $WIFT AVE. <br />MWTF Permit #99-00072-P (209)275-0992 <br />Treatment by incineration PFMT,, #99-00043—P Authorized Signature Date <br />This is to certify that.the waste described hereina f been treated I in accordance with all applicable laws and regulations. <br />MWERAroll COPY — <br />