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1617 N California St <br />Stockton, CA 952046117 <br />REGIH.ATORY r: <br />Phone 0: (209) 451-9D31 <br />Contact : <br />SERVICE DATE; 314I14T:40:04 AN <br />SHIPPING DOCUNENT'd lg1F800ESLUI <br />tIN3291, REIiULATED MEDICAL WASTE, N O.S., <br />6.2, PGI I <br />For DOT HAZMAT Emergency Response Call: <br />CHENTREC 1-800-424-9300 <br />Customer No. 21132 <br />TOTAL. CONTAINERS COLLECTED: 1 <br />TOTAL VOLUME COLLECTED: 5.900 CU FT <br />SUMMARY(Cont Type) QTY CF <br />T814 44 Gal Tub(Bio), CT 12.7 1 5.9W <br />00A006G TB14 <br />I hereby declare that the cadrnis of this <br />rwisignment are fully and accuialely <br />described above by the proper shipping <br />nanw, and are classified, pactajed. hud ed <br />and labelled/placarded, and are in all <br />+'cspects iu proper condition fw t+ai-spoit. <br />atemding to applicable inteu,atiunal aiel <br />national governmental regulations. <br />R 4NA HENDERSOM <br />Generator Signature <br />Tianspuiler Certification: Blythe, Russell <br />Transporter Signature <br />[_] THIS IS A THROM SHIPMENT. <br />[X1 LOCAL TRANS CENTER <br />Stericycle-Fresno,CA <br />UESTINATION FACILITY: <br />Incinerate Only <br />Stericycle-North Salt Lake,UT <br />3A-4481JA-35 <br />Dental Waste <br />Stericycle-Hollister,CA <br />Pharmaceutical i <br />Stericycle-Kansas City,KS <br />H1564 <br />Standard <br />X Stericycle-Fresno,CA <br />DATE OF RECEIPT AT <br />TREATMENT FACILITY; q-, <br />DELIVERY D( MENT 1: PUFROOESON <br />