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65 N. Commerce Street <br />%irarlusTe-liffill "affl", <br />KMo <br />Date <br />Off Site <br />Type of Waste <br />Weight <br />BFI Bin <br />Recorded <br />Signature <br />Location <br />(see legend) <br />No. <br />By: <br />(Name of transporter) <br />13 <br />T <br />0 <br />lq-o <br />F,7 <br />001A-22 <br />Pt a <br />S 91/1�� <br />4x <br />7z <br />'�f � � <br />� i `�� i gni <br />r 1� <br />3 Z -I <br />�,I�7L <br />� C�r V� <br />G� <br />5K) I(/ <br />(Ik <br />7477 <br />Il _> <br />1)1%S// <br />Z//'IZ, <br />,4-76) <br />k. s7w <br />41- <br />e S(rA <br />94- it <br />ILI <br />Legena: A = Needles/Sharps B =Bloodstained materials C = Oih6r (you midst specify) <br />Comments/Corrective Action: <br />Reviewed by: avv",� Date: <br />7-9.doc Compliance Review. "j& <br />Date: 7- 17 7 <br />Document Approved for use: 4 <br />Date: <br />