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t <br />, <br />Med® UJ. <br />`1091 Waste <br />FACILITY NO. 45432 <br />IIIIIIIIIIIIIIIII IIIIIIII 11111111�� <br />II <br />ROUTE NO. L 18 <br />i L' 0 TR A CK' I Jill CONTIiC ° <br />BFI Medical- Waste Tracking System <br />TICKET NO. 4687231 <br />ATEt 04106/95 "L'ItIE ARRIVED o <br />ACCT: 0004523 'PIKE DEPx,id'1ED; <br />SINGH DIALYSIS 114C <br />LOC CODE: <br />2350 N. CALIFORRIA STREET <br />STANDARD CONTAINER I1tVEN`!'ORY <br />STOCKTON CA 95204 b B 0 v 0 c� <br />PHONE 209-943-0854 <br />EXPECTED UTILIZATION THIS DAY <br />P PACS CVO43A2 <br />6 B 0 0 0 1_.. <br />Regulated medical waste, 6.2, NA9275, PGII <br />1 <br />45432"''TICKET: 46tl7231 <br />SINGH DIALYSIS INC <br />— <br />2. <br />04106195 13:09 g <br />—I CONTAINERS COLLECTED: <br />3 <br />1 64341 65257 63669 B0453 <br />— 2 85147 85387 — <br />TOTAL COLLECTED: 6 <br />4• <br />? <br />TOTAL DELIVERED: 6 — <br />6B <br />5. <br />6. <br />This is to certify that the above named materials are properly <br />classified, pack,ggecmar4edfand labeled <br />and are in proper.� <br />condition for transportation according <br />to the applicable , <br />regulations of the Department of Transportation. <br />Customer Signature (not required) Date <br />F'E`rY'� CLVtll:IW 'C84 .f.KJ8 Jiy Ci'i�gf,a.'. <br />BFI MEDICAL WASTE SYSTEMr <br />�x <br />❑ <br />9719 Lincoln Village Drive <br />OTHER <br />, <br />�, <br />Sacramento, CA 95827 <br />(916) 364-8872" <br />; <br />Transporter Registration #21131st <br />Transporter Date <br />s -r <br />a � :., <br />❑ BFI MEDICAL WASTE SYSTEMS <br />WASTE <br />366-B Greenville Road$ <br />�iYSTI,ItC <br />Livermore, CA 94550 '- <br />ITE"ROCi( itOA17 Initial Date received at Transfer Station <br />(510) 449-9323 <br />RANCHO CQ VA t CA 95742 <br />MWTS Permit #001228-3 <br />c 916 364-$$72 <br />'rS PEPMT 499-00071—P 2nd Transporter (if applicable) Date <br />' �aaf.Lm4f�daax:k G,�ciwa' udv..r.www.. <br />BFI MEDICAL WASTE SYSTEMS <br />❑ <br />11875 White Rock Road <br />BI J: &M WASTE SYSTEMS <br />Rancho Cordova, CA 95742 <br />4� 35 W, AVE. <br />(916D 364-8872 <br />(209)275-0992 <br />MTF Permit #99-00072-P <br />S P" !IT #99-0W434 Authorized Signature Dose <br />Treatment by incineration <br />I <br />This is to certify that the waste described herein has been treated in accordance with all applicable laws and regulations. <br />k <br />G[-NEFATOR COPY I <br />1 <br />