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San Joaquin County Operations <br /> . ® Medical Waste Tracking Form <br /> Date: <br /> Pick-Up Location <br /> ❑1709 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 /> 11-11 <br /> E 400 S. Fresno Avenue, Stockton, CA ❑ 730 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 /> l Sharps Container <br /> Other: <br /> Other: <br /> Transport Personnel <br /> Y <br /> Print Name Signature <br /> Medical Waste Transportation Form Revised:5-23-12 <br />