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I <br />4b <br />as <br />k' Medical Waste SysteMs <br />ROUTE NO. <br />45432 <br />10TRACK <br />BFI Medical Waste Tracking System <br />CONTACT ° CLKRK <br />vT NO. <br />4724496 <br />DATE: 07/20/95 <br />TIHE <br />ARRIVED <br />ACCT: 4523 <br />TI'HE <br />I)I:±'HI':CDD. <br />INC <br />LOC CODE: <br />SINGH DIALYS S <br />2350 N. CALFORNIA STREET1. <br />STANDARD CONTAINER INVENTORY „�„ <br />STOCK`i'ON ) CA '95204' � 7 D ' � O 0 ,I <br />PHONE 209943-0854 EXPECTED UTILIZATION THIS DA <br />MAP PAGE CVP143A2 Regulated medical waste%.2, NA92O75, PGII O <br />I <br />2. <br />3. -- <br />4. <br />5. <br />6. <br />This is to certify that, the above named materials are properly +, <br />classified, paclgaged;marked and labeled and tare; in proper s+ <br />condition for tragsportation according to the applicable <br />regulations of the Department of Transportation.: <br />OUTSIDE !' i 1: 1 <br />CLO ► <br />TUE-THUR CLOSES AT r PM <br />❑ BFI MEDICAL WASTE SYSTEMS ❑ OTHER <br />9719 Lincoln Village Drive <br />Suite 501 <br />Sacramento, CA 95827 <br />(916) 364-8872 <br />Transporter Registration #2113�`wNtlb <br />❑ BFI MEDICAL- WASTE SYSTEMS <br />366-B Greenville Road <br />Livermore, CA 94550 <br />(510)446-9323 <br />MWTS Permit #00122P-3 <br />• <br />BPI tMWASTE <br />M ROCK <br />}. H O 1. .. j .. i s .: <br />#45432 TICKET: 41-G44t3o <br />SINGH DIALYSIS INC <br />07120195 12:27 <br />CONTAINERS COLLECTED: <br />1 84687 B0724 B3001 <br />2 B4207 B3324 61568 <br />IOTAL COLLECTED: 7 <br />7B <br />TOTAL DELIVERED: 1 <br />7B <br />B <br />B4626 <br />/ <br />Customer Signature (not required) J' Da e <br />.A <br />1st Transporter- <br />OTHER <br />ransporter <br />Date received at Transfer Station <br />2nd Transporter (if applicable) <br />Date <br />i <br />BFI MEDICAL, WASTE SYSTEMS ❑' OTHER <br />11875 White Rock Road BFI MWICAL WASTE SYSTEMS <br />Rancho Cordova, CA 95742 <br />katment <br />)364-8872 4135 W. SWIFT AVE. <br />2@9 275-0992' �' <br />F Permit #99-00072-P t ) Authorized Signature Date <br />by incineration MWTS PE T 99- 43-P <br />is is to certify that the waste described herein has been treated in accordance with all applicable laws and regulations. <br />Gi Ni- `ron cor-Y <br />