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Gill Medical Center <br />1617 N CaIifomia St <br />Stockton, CA 92046117 <br />REGLILATORV 1: <br />Phone 1: (209) 451-31 <br />Contact : <br />SERVI -OAT :73/25/14 9:28:03•AN <br />S)IfPPING OMAI 1 TIMM— <br />U1 11111OMNI IpIlj iIN.D.S <br />6.2, PGI I <br />For DOT HAZNAT Emery Response Cal I: <br />CItENTREC 1-1100-424-9 <br />Customer No. 21132 <br />TOTAL CONTAINERS COLLECTED: 1 <br />TOTAL RUNE COLLECTED: 5.900 CU FT <br />UOL <br />SIUOARY(Cont Type) QTY IF <br />T814 44 Gal Tub(Bio), CT 12.7 1 5.900 <br />1 hereby declare t twit e cwitents of this <br />consignment 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 />Generator Signature <br />Transporter Certification: Flores, Sal <br />ge� <br />Transporter Signature <br />1-11H IS A THROII SHIPMENT. - <br />[X I <br />HIPMENT,[X) LOCAL TRANS CENTER <br />Stericycle-Fres o,CA <br />DESTINATION FACILITY: <br />Incinerate Only <br />Stericycle-North Salt Lake,UT <br />3A-4481.106 <br />Dental Waste <br />Stericycle-Holl ister,CA <br />Pharmaceutical <br />Stericycle-Kansas City,KS <br />H1564 <br />Standard <br />X Stericycle-Fresno,CA <br />DATE OF RECEIPT AT <br />TREATMENT FACILITY: <br />DEC. I UEtiV OOCI 1: W - <br />TQTAI. <br />