Laserfiche WebLink
JUL/12/2011/TUE 12:33 P. 003 <br /> BNtl' T MEW-CAL CES <br /> 30620 San Antonio St Hayward, CA 94544 <br /> Office: 510-429-9911 Fax: 510-429-9914 <br /> STATE OF CALIFORNIA TRANSPORTER LICENSE#4891 EPA#CAL000159569 <br /> STATE OF CALIFORNIA MEDICAL WASTE TRACKING FORM <br /> TRACKING# 31806 CONTAINER.# 1547 <br /> MEDICAL WASTE GENERATOR DATE (PHONE <br /> 3atell:te Dialysis-Tracy QXd0942011 Work:(2[39Y 032-9850 <br /> 2156 W. Grant Lina 0150 <br /> Tracy, CA 9537 <br /> Contact: <br /> John <br /> Notes: 40 gallon containers(6-8) <br /> Pricing: Customer Code: <br /> SHAIA OLLECTORS <br /> Up to: 2 gal. 4 gal. 6 gal. 8 gal. 12 gal 18 gal Other . Approx.weight <br /> BIOHAZARDOUS WASTE[Red Bags) Up to: 10 gal. 20 gal Approx.weight <br /> PATHOGEN: size: Quantity Approx.weight <br /> CHEMO: Size: Quantity Approx.weight <br /> PIURMACEUTICAL WASTE Up to: 3 gals 9 gals 18 gal Approx weight <br /> DENTAL: Amalgam Amalgam Filter Fixer/Developer Lead Other <br /> MQUENCX OF SERVICE Weekly <br /> 20 gal 3 8 gal 40 gal 4.4 gal Approx Weight <br /> I certify that the containerized medical waste listed above--is properly packaged and labeled and is not leaking at <br /> the time of removal from this facility. <br /> `A <br /> Signature-GENERATOR § gnk&e=TRANSPORTER <br /> V"Ms SHARPSMART []HEALTHCARE ENVIRONMENTAL <br /> 4144 E.THPRESE AVE 1420 40 ST MW <br /> FRESNO,CA 93725 FARGO ND 58102 <br /> TREATMENT PER MM TSIOST-55 INCINERATION PI=Rlv11T RTF 208 <br />