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FACILITY NO. ROUTE NO. �� x_17 <br />45432 005 <br />IIIIIiiiii�i i ii��ii <br />1111 T R A C K <br />BFI Medical Waste Tracking System <br />TICKET NO. 4689008 <br />DATA: 0471,3/95 TI1 0 ARRIVED <br />ACCT: 0004523 TIME DEPARTED c <br />SINGH DIALYSIS INC LOC CODE: <br />2350 N. CALIFORNIA:STREET <br />STANDARD CONTAINER IM14TOl<Y <br />STOCKTON M95204 6,B 0 0 0 O } <br />PHONE 209-943-0854 <br />EXPECTED UTILIZATION THIS DA,•- <br />14AP PAGE CV043A2 6 H 0 0 co <br />Regulated medical waste, 6.2, NA9275, PGII a45432 TIGI4ET: 46eOtu] ; <br />SI N YSIS INC <br />1. <br />i <br />04113195 06:31 BSD _ <br />2. 1 L'UNTAINERS COLLECTED: <br />�— 1 81015 85302 85056 89571 _ <br />! 2 B5969 B4728 <br />3. TOTAL COLLECTED: 6 _ <br />t 6B <br />' TOTAL DELIVERED: 6 <br />4. -- �~-7>� 6 B <br />I <br />5. <br />6. <br />This is to certify that the,above named materials are properly . <br />classified, �packagpd, lfiari. fed,, and labeled and., Ten proper,, <br />condition for transportation according to the applicable - <br />regulations of the Department of Transportation.. ' f� <br />'Custst <br />omer Signature (not required) Date <br />OUTSIDE STORAGE. COMBO IS 4523. <br />M--W-F CLOSES AT 10.30 PM <br />TUE-T. CLOSES AT G' 30 ]»A <br />}° BFI MEDICAL WASTE SYSTEMS <br />❑ OTHER <br />9719 Lincoln Village Drive <br />Suite 501 <br />Sacramento, CA 9 827' <br />(916) 364-8872. <br />Transporter Registration #2113 <br />1st Transporter 'Date <br />IIA <br />❑ BFI MEDICAL WASTE SYSTEMS' <br />,' ❑OTHER <br />366-B Greenville Road <br />BPI MEDICAL WASTE <br />SY JTEIG°`' <br />Livermore; CA 94550 <br />x.1875 WHITE ROCK ROAD <br />Initial <br />Date received at Transfer Station <br />(510) 449-9323"�,RANCHO.PORDOVA, <br />CA 95742 <br />MWTS Perjnit #00122F-3 <br />(916)364-8872': <br />n; <br />2nd <br />Transporter (if applicable) Daie <br />BFI MEDICAL WASTE SYSTEMS ❑ OTHER <br />11875 White Rock Road ,BFI MEDICAL WASTE SYSTEMS <br />Rancho Cordova, CA 95742 <br />x:135 W. i S FT AVE. <br />(916) 364-8872 <br />(209)275-0992 <br />MWTF Permit #99-00072-P Authorized Signature Date <br />Treatment by incineration <br />KITS PERMIT #99--00043-P <br />This is to certify that the waste described herein has been treated in accordance with all applicable laws and regulations. <br />