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Medical Waste Systems <br />FACILITY NO. 45432 ROUTE NO. 0100!:-06 <br />ILII D rO T R A C K' I I COIA'TACa cl. APU( <br />OR Medical Waste Tracking System <br />TICKET NO. 4672949 <br />DATE: 02/20/95 TI HE ARRIVED <br />ACCT, 4523 TIME, iTJC L�4LL�AR`i'at) : _ <br />SINGH DIALYSIS INC LOC COD2o <br />2350 N. CALIFORNIASTREET � <br />STANDARD CONTAINER INVENTORY <br />STOCKTON CA 95204 6 B 0 4t 0 0 O <br />PHONE 209-943.0854 E EC UTILIZATION THIS DAY <br />MAP PAGE CV043A2 5 B 0 0 0 0 0 <br />Regulated medical waste, 6.2, NA9275, PGII <br />2. — #45432 TICKET: 4672949 —• <br />SINGH DIALYSIS INC <br />3. — 02120195 10:10 TAW — <br />CONTAINERS COLLECTED: <br />4. — 1 85890 84090 B2617 65118 <br />2 61741 B3747 <br />TOTAL COLLECTED: 6 <br />5. — 6B — <br />TOTAL DELIVERED: 6 <br />6. 6 B — <br />This is to certify that the above named materials are properly <br />classified, packaged, marked and labeled and are in propel <br />condition for", <br />ransportation'according to the applicable <br />regulations of the Department of Transportation; Cu'starner..Si9natuca.11aot required) Date <br />�pp l i I iw <br />III��II •II���1 N � I� <br />F,a <br />i 'MEN= <br />BFI MEDICAL WASTE SYSTSMS <br />❑ OTHER <br />9719 Lincoln Village Drive <br />Suite 501 <br />Sacramento, CA 95827 <br />(916) 364-8872 <br />_ - C <br />� <br />Transporter Registration #21 13 <br />1st Transporter Date <br />P <br />❑ <br />BFI MEDICAL WASTE SYSTEMS <br />� 1 <br />S <br />'' SY5`T't 1s <br />I <br />366-B Greenville Road .; <br />_ <br />'.118% SITE �Q� �Q <br />Initial Date received at Transfer Station <br />Livermore, CA 9455Q <br />CA742 <br />;y <br />jK <br />(510) 449-9323 <br />#001,2^P <br />' <br />(v�3C�it3CAOR}t�/A, <br />MWTS parmit. 3 .- <br />,� PHT7—.71—P <br />2nd Transporter (if applicable) Date <br />; <br />1 <br />fl <br />BFI MEDICAL WASTE SYSTEMS` <br />11875 White Rock Road'' <br />RP avnL WASTE SYSTEMS <br />Rancho,Cordova, CA'95742 <br />;.` 4135M. SWIFT AVE. <br />(916) 364-8872 <br />(209)X75-0592 }, <br />_ <br />l <br />MWTF Permit #99-00072-P. `. <br />jH IT$ . PER IIT #99-00043-i' <br />Authorized Signature Da. <br />Treatment by incineration <br />This into certify that the wastedescribed herein has been treated in accordance with all applicable laws and regulations. <br />