Laserfiche WebLink
A®: • Stericycle' SE OF EMERGENCY CO T: CH REC 1-800.234 STANDARD MANIFEST 001 -10 -08 -STD <br />®.® Route #: - MDFR0086GB <br />1. Generator's Name, Address and Telephone Number <br />ATTN. Garia Vallem/Project <br />BIO/ST JOBS IMMED CARE/OCCHLTH <br />1801 E. MARCH LANE BLDG 4700/480D <br />STOdTON, CA 95210 <br />(209) 467-6395 7/15/2009 <br />j i:t �Ei:%�•i� b <br />606280-003 <br />a8. Attemete Feeitity: <br />STERICYCLE INC <br />® 8C. Attemats Fadlnnyy <br />STERICYCLE INC <br />CusTOMERNUMBER GENERATOR'S REGISTRATION# <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />L.1 #I-. q ,l., <br />jc� <br />a <br />W <br />. <br />TREATMENT FACILITY: I certify that I have been authorized by the applicable state agency to accept untreated medical wastes and that I have <br />received the above indicated wastes in accordances�iltl t� r gyjre ent outlined in that authorization. <br />U <br />Print/Typs Name <br />Signature <br />Date <br />j i:t �Ei:%�•i� b <br />