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VATEi ; 07f10/95 TIME ARRIVED <br />`iACCTa 0 452; TII-iE DEPARTED. <br />SINGH DIALYSIS INC LOC CODE: <br />2350 N.. CALIrO IA ST ET <br />STANDARD$TANDARD CONTAINER INVENTORY <br />STOCiCTON CA 95204 :7 D @ 0 0 <br />PHONE 209-943-0854 EXPLCTED.UTILIVkTION THIS DAY <br />MAP PAGE CV043A2 � g �i�� <br />Regulated Lai waste,0 NA9275, PGII 0 <br />1 <br />2. <br />3. <br />4. <br />5. <br />6. <br />This is to certify that the above named materials are properly <br />classified, packaged, marked and labeled and are in proper <br />condition for transportation according to the applicable <br />regulations of the Department of Transportation. <br />,� <br />Customer Signature t re (not required) Date <br />ilia <br />to 0 <br />0 0 <br />OUTSIDE STORAGE. COt,1130,IS 4523. <br />M -11--F CLOSES AT 10 t 30 PH ( , <br />TUE-THUR CLOSES AT 6:30 -PM 3 <br />1st Transporter <br />❑ BFI MEDICAL <br />WASTE SYSTEMS ❑ OTHER'' T <br />366-B Greenville Road SPS 1-WDICAV,WAS SYST'H$-- -- <br />Initial Date received at Transfer <br />Livermore, CA 94550 1 $'�5,` kt 4 ;R K RQAD <br />(510) 449-9323 ` " � R , Cw�? ?'VAS ' CA 95742 <br />MWTS Permit #00122P-3 j S6 5372 <br />7.,A.ima ""Mrrrn - , 2nd Transporter (if applicable) <br />BFI MEDICAL WASTE SYSTEMS❑� OTHER' <br />11875 White Rock Road <br />Rancho Cordova, CA 95742 BFI HEDICAL WASTE SYSTEMS JI <br />(916) 364-8872 4135` W.,'SWIFT AVE. -- <br />IAWTF Permit #99-00072-P (209)275-0992 Authorized Signature <br />treatment by incineration MTS PERMIT #99- 43-P <br />This is to certify that the waste described herein has been treated in accordance with all applicable laws and regi <br />GENERATOR COPY <br />