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cwe <br />FACILITY NO. Ical W�erlh <br />45432 <br />ROUTE NO. _, - <br />2 a <br />B10TRACKn <br />BPI Medical Waste Tracking System 0014, 2%CIS (T �iTth <br />TICKET NO. 4672261 <br />DATES 02/16/95 TIME ARRIVED <br />S GH DIALYSIS INC ACCT c 4523 TINE DEPARTED. <br />LOC CC DI: : <br />2350 N. CALIFORNIA IA ST T <br />STfJC N ST' CONTAINER INVENTORY <br />95204 6 D 0 0 C 0 <br />PHONE 209-943-0 854 <br />,,,EXPECTED UTILIZATTON THIS <br />MAP PAGE CV043A25 ® <br />Regulated medical, waste, 6.2, NA9275, PGII I <br />1 k #45432 TICKET: 4672261 <br />2. <br />r r,1' s <br />3. C©NUMERS C01 L'E4�TLB, <br />1 84564 87318 63911 65467.„ <br />2 84314 B2148 <br />4, TOTAL COLLECTED: 6 <br />---�- 6 B <br />5. <br />TOTAALBDELIVERED: 6 <br />6. <br />This is to certify that the above named materials are properly <br />classified, pagkageol jparked and labeled gne <br />'. are in r�ppi -• ;l <br />condition for transportation according ;to the applio ble <br />regulations of the Department of Transportation. <br />dCustorner Signature (not required) Date <br />BFI MEDICAL WASTE SYSTEMS ; 0 OTHER <br />366-8 Greenville Road U1 MEDICAL WASTE SYS`4'E14r <br />Livermore, Ck94550 X1,875 ITE ROCK Initial <br />(510)449-9323 RANCHO CORDOVA, CA95742 <br />MWTS Permit #00122P-3 i X6) 364-8872 r; <br />2nd Transporter (if applicable) Date <br />BFI MEDICAL. WASTE SYSTEMS <br />11875 White Rock Road ; � 'OTHER <br />rancho Cordova, CA 95742F la WASTE S'Y'S'T'EMS <br />016) 364-8872 4IN5 W. !'SWIFT AVE., <br />�WTF Permit #99-00072-P (:209)275-0992 <br />by incineration, S PRFS! �t99-0' 43-i� Authorized Signature Date <br />I<<This is to certify that the waste described herein has been treated in accordance with all applicable laws and regulations. <br />' C C<1� EF`#A'd l i`i <br />1st Transporter <br />Date received at Transfer Station <br />Date- <br />1-7- <br />BFI <br />D t <br />