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!r Stericycle °0 , ► Dq r �, <br /> 'Oe* <br /> * The Specialist in Managing <br /> Medical Waste <br /> Dear Valued Customer, <br /> Please accept this letter as verification that the containers listed below were removed from <br /> your facility on the date noted. <br /> Rpt Id: DocSel BioTrack Staging Area RunDate: 3/17/2005 <br /> Document Selection <br /> Cust-Site: 6054355-056 Western Dental #107/Ortho <br /> Start Date: 01/01/03 End Date : 03/17/05 678 N Wilson Way Ste D <br /> Stockton , CA 952054200 <br /> Manifest Document Selection <br /> Document Date Twr Rte Driver Conts Bill WT Cont WT All WT UOM <br /> MDRC003CNQ 03/10/05 10:59 AM Y 405 EDJ 1 7.7 7.7 Y LB <br /> MDRC003BBL 02/24/05 11:35 AM Y 405 EDJ 1 0 8. 4 Y LB <br /> MDRC0039ZP 02/10/05 12:18 PM Y 405 EDJ 1 8. 9 8. 9 Y LB <br /> MDRC0038N0 01/27/05 11:52 AM Y 405 EDJ 1 3.8 3.8 Y LB <br /> MDRC00372U 01/13/05 11:04 AM Y 405 EDJ 0 0 0 Y LB <br /> MDRC00360X 12/30/04 12:01 PM Y 405 EDJ 1 7.4 7.4 Y LB <br /> MDRC0034IW 12/16/04 11:44 AM Y 405 EDJ 1 25. 6 25. 6 Y LB <br /> MDRC003347 12/02/04 11: 10 AM Y 405 EDJ 1 11.8 11.8 Y LB <br /> MDRC0031MD 11/18/04 12: 12 PM Y 405 EDJ 1 8. 1 8. 1 Y LB <br /> MDRC003043 11/04/04 01:24 PM Y 405 GTN 1 0 11. 9 Y LB <br /> MDRC002ZDB 10/28/04 11:56 AM Y 405 EDJ 1 0 0 N LB <br /> MDRC002YKN 10/21/04 11:20 AM Y 405 EDJ 1 0 6.8 Y LB <br /> MDRC002XVT 10/14/04 10:52 AM Y 405 EDJ 1 2.5 2.5 Y LB <br /> MDRC002X4N 10/07/04 10:36 AM Y 405 EDJ 1 0 6.8 Y LB <br /> MDRC002WED 09/30/04 10:50 AM Y 405 EDJ 1 0 10. 8 Y LB <br /> MDRC002VNX 09/23/04 12:08 PM Y 405 EDJ 1 0 7. 1 Y LB <br /> MDRC002UXH 09/16/04 12:56 PM Y 405 EDJ 1 0 9.2 Y LB <br /> MDRC002U4K 09/09/04 10:55 AM Y 405 EDJ 1 6.2 6.2 Y LB <br /> MDRC002TE3 09/02/04 01:15 PM Y 405 EDJ 1 7. 1 7. 1 Y LB <br /> MDRC002SN4 08/26/04 12:07 PM Y 405 EDJ 1 0 11. 6 Y LB <br /> MDRC002RW5 08/19/04 12:08 PM Y 405 EDJ 1 0 8. 9 Y LB <br /> MDRC002R6D 08/12/04 01:36 PM Y 405 EDJ 1 0 11.2 Y LB <br /> MDRC002QIX 08/05/04 11:56 AM Y 405 EDJ 1 0 11. 6 Y LB <br /> MDRC002POZ 07/29/04 11: 41 AM Y 405 EDJ 1 0 6. 1 Y LB <br /> MDRC002PO4 07/22/04 12: 01 PM Y 405 EDJ 1 0 5.2 Y LB <br /> MDRC00208G 07/15/04 11: 32 AM Y 405 EDJ 1 0 0. 6 Y LB <br /> Certification: This document represents the information provided in the original manifest. The material listed on the manifest <br /> #'s detailed above (Regulated Medical Waste) has been treated in accordance with the requirements of Federal, State, and <br /> local regulations governing the treatment of such waste. A certificate, applicable manifests, and the appropriate logs will <br /> remain on file with Stericycle,Inc. <br /> Stericycle, Inc. <br /> Mary Copeland Major Account Executive <br /> 2775 East 26th Street Vernon Ca 90023 <br /> Phone (323) 854-7133 Fax 951-303-9390 <br /> www.stericycle.com <br />