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urrr mu'can anter <br />1617 N Cal ifomia St <br />Stockton, CA 952046117 <br />REGLILATMY t: <br />Phone 11: (209) 451-W31 <br />Contact <br />_ _ I <br />SEI CE DATE: 3116114 10:02: f5 AH - <br />+y „ runom- <br />r' •� n'; , 5r Iqr � <br />6.2, P611 <br />For DOT HA2NAT Emery Response Call: <br />Of <br />C 1-x-424-9ger� <br />Customer No. 21132 <br />TOTAL CONTAINERS COLLECTED: 1 <br />TOTAL UGLUNE COLLECTED: 5.900 CU FT <br />VOL <br />SIJWY(Cont Type) QTY IF <br />TB14 44 fail Tub(Bio), CT 12:7 1 .5.900 <br />�At�611-T814 ---•-- - - - - <br />I hereby declare t amt t contents of this <br />consignment are fully and accurately <br />described above by the proper shipping <br />name, ard are classified, packaged, marked <br />and label led/placarded, and are in all <br />respects in proper condition for transport <br />according to applicable international and <br />national governmental regulations. <br />raves <br />Generator Signature <br />Transporter Certification: Flores, Sal <br />Transporter Signature <br />[_] THIS IS A THROIKGt SHIPMENT. <br />[X] LOCAL TRANS CENTER <br />Ster icycle-Fresno, CA <br />DESTINATION FACILITY: <br />Incinerate Only <br />Stericycle-North Salt Lake,UT <br />3A-4461JA-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,CA <br />DATE OF RECEIPT AT,-) t: <br />TREATMENT FACILITY: I I <br />- <br />TOTAL'11— : 1 <br />