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Medical Systems <br />FACILITY NO. 45432 IIIIIIIlIIIIIIIIIIIIIIIIIIIIIIIIIII ROUTE NO. 15115-i� <br />III . � I T A C K'"III CO! 1TACT c 1 X', IRK <br />BFI Medical Waste Tracking System <br />TICKET NO. 4685726 <br />DATE: 04/03/95 TIME kRRIVED- <br />ACCT: 0004523 TIi-tie DE11Af%1 !:',D:._ <br />SINGH DIALYSIS INC LOC CODE: <br />2350 N. CALIFORNIASTREET <br />STAYED D CON:'` NER INiiLl1°i'04�Y <br />STOCKTON CA 95204 6 B 0 0 0 6 0 <br />PHONE 209-943-0854 EXPECTED UTILIZATION THIS DAY <br />MAP PAGE CV04 HA2 6 B 0 0 0 � 0 <br />Regulated' medical waste, 6.2, NA9275, PGII - <br />11110 is tv oal toy Mat Lilt; auvvc 1101iicu n iatc11aIa alp Ln vLrci �y <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.:Custome Signature (not required) Date <br />OUTSIDE STORAGE. COMM IS 4523. <br />M -W -F CLOSES AT 10:30 PH <br />TUE-TCLOSES AT 6s30 PM <br />1 <br />® BFI MEDICAL WASTE SYSTEMS <br />9719 Lincoln Village Drive <br />Suite 501 <br />Sacramento, CA 95$27 <br />(916) 364-8872 <br />Transporter Registration #2113 <br />❑ BFI MEDICAL WASTE SYSTEMS <br />366-B Greenville Road <br />Livermore, CA 94550' ; <br />(510) 449-9323 <br />MWTS Permit #00122P-3 <br />La?'1,1L(4LhLLL-z . <br />1st Transporter Date <br />u .",g41,1C,° ,' uiV& . t. r, 444 • . AA,, p fl, C 1;, t <br />IER <br />"CAI, WASTE SYSTFY4� <br />iITE QCK ROAD Initial Date received at Transfer Station <br />iORDO <br />VAp CA 95742 <br />4 _ 2nd Transporter (if applicable) Date <br />.. ,u I e �., �....... _ , , i„ . <br />BFI MEDICAL WASTE 'SYSTEMS ❑ OTHER <br />11875 White Rock Road Ml WICAL WASTE ISYSTEHS <br />Rancho Cordova, CA 95742 35 6VIT AtJE <br />(916) 364-8872 <br />MWTF Permit #99-00072-P HIf�,S isEY;YtI`P!99 004 4:3-)? Authorized Signature Date <br />Treatment by incineration <br />This is to certify that the waste described herein has been treated in accordance with all applicable laws and regulations. <br />