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AWVwi San <br /> Joaquin County Operations <br /> ° Medical Waste Tracking Form <br /> Date: <br /> Pick-Up Location <br /> 9-11709 S. Stockton Street, Lodi, CA ❑455 W. Beverly Place,Tracy, CA <br /> ❑400 S. Fresno Avenue, Stockton, CA ❑ 730 N. Union Street, Stockton, CA <br /> ❑2060 E. Main Street, Stockton, CA ❑ Other: <br /> Drop-Off Location <br /> ❑1709 S. Stockton Street, Lodi, CA ❑455 W. Beverly Place,Tracy, CA <br /> 0�00 S. Fresno Avenue,Stockton, CA 171730 N. Union Street, Stockton, CA <br /> ❑2060 E. Main Street, Stockton, CA ❑ Other: <br /> Medical Waste Description <br /> Quantity Container Type <br /> 40 gal -Bio Hazard Bag <br /> ? Sharps Container <br /> Other: <br /> Other: <br /> Transport Personnel <br /> Print Name Signature <br /> Medical Waste Transportation Form Revised.5-23-12 <br />