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1617 N Cal ifornia St <br />Stockton, CA 916117 <br />RMILATORY f: <br />Phone f: (209) 451-9031 <br />Contact : <br />SERUICE"DATE-4!22114 9:08:36 AN <br />SHIPPIN6DDC q; 9N -.- - <br />Lilli 1 i 1 ALl��ASTE!l N.D.S. , <br />6.2, PGI I <br />For DOT HAZNAT EmergencyResponse Cal I: <br />CHEHTREC 1 -600 -424 - <br />Customer No. 21132 <br />TOTAL CONTAINERS COLLECTED: 1 <br />TOTAL VOLUNE COLLECTED: 5.900 CU FT <br />VOL <br />SLIMMARY(Cont Type) OTY CF <br />T814 44 Gal Tub(Bio), CT 12.7 1 5.900 <br />OOAOO6MI TB14 — <br />I hereby declare tgat t�cor4ents of this <br />consivent are fully and accurately <br />described above by the proper shipping <br />name, and are classified, packaged, marked <br />and labelled/placarded, and are in all <br />respects in proper condition for transport <br />according to applicable international and <br />national governmental regulations. <br />tuay reyes <br />Generator Signature <br />Transporter Cert ificatI= Flores, Sal <br />�3 <br />Transporter Signature <br />[_) THIS ISA TNRIXll9t SHIPNERT. <br />[XI LOCAL TRANS CENTER <br />Ster icyc I e-Fresno,CA <br />DESTINATION FACILITY: <br />Incinerate Only <br />Stericycle-Forth Salt Lake,UT <br />3A-448lJA-36 <br />Dental Waste <br />Stericycle-Hol I ister,CA <br />Pharmaceutical <br />Stericycle-Kansas City,KS <br />H1564 <br />Standard <br />X Stericycle-Fresno,C4 <br />DATE OF RECEIPT AT �Q <br />TREATMENT FACILITY: <br />TOTAL DEL I E . 1 <br />