|
HAZARDOUS MATERIAL SHIPPING OUCUM[ N f
<br />TRANSPORTER:Stericycle, Inc.
<br />4135 West Swift Ave.
<br />Fresno, Ca 93722
<br />(559) 275-0994
<br />24 HOUR EMER(IFNCY PHONE: 1-800-234-0051
<br />GENERATOR ACCOUNT 0: 6018549-002
<br />Kaiser/West
<br />7373WestLane
<br />Stockton CA 952103377
<br />(209) 476-5444
<br />SERVICE DATE: 06f28! 12,21:00 PM
<br />SHIPPING DOCUMENT 1t: MDFRO03XX4
<br />REGULATED MEDICAL WASTE 6.2 , UN3291,
<br />PGI I
<br />TOTTAINERS COLLECTED: 59
<br />TOT UME COLLECTED: 348.1 CU FT
<br />VOL
<br />SUMMARY(By ContType) QTY CF
<br />TB14 44 Gal Tub(Bio), 59 348.1
<br />OOA0111 TB 14 0OA0112 T814 00113 TB 14
<br />0OA0114 TB14 OOADI15 T814 00A0116 T814
<br />OOA0117 T014 O0AO118 TBI4 00A0119 TBI4
<br />OOAOI I A TB14 OOAO1 I B T814 DOA011 C TBI4
<br />uuA011P TB 14 06A0IHQ TB14 00AUIHR TB14
<br />00A01HS TBI4 OOAO`IHT T814 OOAUIHU TB14
<br />OOAO1HV T814 0OA011D TB14 00A011E T914
<br />OOAOIIF TB14 OOAOIIG TB14 00AU1I1 T814
<br />00A011J TB14 OOAOIIK TB14 OOAOIIL T014
<br />0OA0110 TB14 0OA011N TB14 OOAOIIM TBI4
<br />0OA011Y TB14 OOA011Z 1814 00AOIJO TB14
<br />00A0I I X TB14 0OAO1 I W TB14 uOAO I I V T814
<br />0OA011P TB14 0OAO11Q TB14 OOA011R 1B14
<br />OOAOIIS TB14 00AO11T TB14 00A0111.1 1014
<br />OOh&TO14 OOA01A2 T814 00AOtA3 T814
<br />00AWB14 00AO1A4 TB14 00A01A6 IB14
<br />00AOIA7 TB14 o0AO1A8 TB14 0OAO1A9 TB14
<br />0OA01AA T014 00A01A8 TB14 00A01A1 T1314
<br />OOAOIAM TB14 0OA0IAN TB14 0OA01AO T014
<br />0OA01AL T814 GOA0IAK TB14
<br />I hereby declare that the contents of this
<br />consignruent are fully and accurately
<br />desc,;bed shove by the proper shipping
<br />mane; ood are classified, packaged, marled
<br />aiul label led/placarded, and are in al l
<br />ealn cTn in proper condition for transport
<br />a,.,.unfing to applicable international and
<br />national govenmientat regulations.
<br />G TOR AGENT PRINT NAME
<br />I
<br />HAZARDOUS MATERIAL SHIPPING DOL"UMCNT
<br />TRANSPORTER:Stericycle, Inc.
<br />4135.West Swift Ave.
<br />Fresno, Ca 93722
<br />(559) 275-0994
<br />24 HOUR EMERGENCY PHONE: 1-8U) 234-00.
<br />GENERATOR ACCOUNT 6018549-002
<br />KaiserlWest
<br />;973 West Lane
<br />Stockton CA 952103377
<br />(209) 4765444 SERVICE DATE 06130106 7.17:00 AM
<br />SHIPPING DOCUMENT 4: MDFR003Y4C
<br />REGULATFD MEDICAL WASTE 6.2, UN3?91
<br />TOTAL CONTAINERS COLLECTED: 44
<br />TOTAL VOLUME COLLECTEO: 369.4 CU If
<br />VOL
<br />SUMMARY(By ContType) OTY CF
<br />T814 44 Gal Tub(Bio), 26 153.4
<br />TB57 90 Gal Tub(Bio)CT 18 216
<br />I hereby declare that Ire currrenra „,,. unrvr_n.••-••-
<br />cons* yrunent are fully and accurately
<br />descilbed move by the proper shippiou
<br />frame, artdT,,e classified, packaged, mat6d X
<br />U and labelledlplacarded, and are in all - URE
<br />reslxLto in proper condition for transport -
<br />a,.cording to applicable inter flat and
<br />national govennaental regulations. 1 WASTE 1RWVS'FER DATE,
<br />—
<br />Si
<br />�_ITHIS IS A THROUGH SHIPMENT.
<br />ESTINbN FACILITY.
<br />G TOR ALERT PRINT NAME
<br />STERICYCLE INC FRESNO, CA
<br />SIFRICYCLE INC NORTH SALT L, UT
<br />X S f FR I CYCLE INC - SAN LEANDRO , CA
<br />IC RE SIERICYCLE INC VERNON, CA
<br />DATE OF RECEIPT AT
<br />PC, II DRIVER: PARKA, RENE TREATMENT FACILITY:
<br />11EI,1VERY DOCUMENT a: PDFRO03Y41]
<br />f AT TOTAL DELIVERED ITEMS: 66
<br />ITEM QTY
<br />WASTE TRANSFER DATE: ! 1
<br />T814 44 tial Tub(Bio). C 66
<br />I_ITHIS IS A THROUGH SHIPMENT
<br />Oom1.P TB14 OOAO'IJQ T814 0001JR TOM
<br />14) 1 JS TB14 OOAOIJT TB14 O)A "iJU TB14
<br />010AOIJU TEI14 OOAOIJW'T814 OoA01JM TB14
<br />WA01JY TB14 0012 T814 OOAr11K0 TB14
<br />a)AoiLB T814 0OA01LE TB14 00A01LF 11314
<br />OOAO1LG T814 00A01LH TB14 00A011-1 T614
<br />0OA0ILJ T914 OOA01LK TB14 04011- TB14
<br />OOA01LM TBI4 OOAO1LN TB14 OoA011-0 T814
<br />00AOIDL T814 0OAo1DM T814 000011-1 T1357
<br />0011-2 1857 0OAOIL3 T857 00A014 1135i
<br />0000115 T861 00A011-6 TB57 00A01L7 T0b1
<br />UOA011,8 1857 00A011-9 T857 MA011-A TB57
<br />0oA01LB TB57 0OA0ILC T857 00A0lDN 185+
<br />00A01DO T851 001KA T957 JOA010 TB37
<br />0OA0IKC T857 O0AO1K9 TB57
<br />--------------
<br />hereby declare that the contents of this
<br />•oilsignment are fully and accurately
<br />described above by the proper shipping
<br />name, mill are classified, pacfaged. ;t,a;led
<br />and labelled/placarded, and are in all
<br />,n5l,ecis in m upei condition fo, Ildirvorl
<br />s: a'd:ng to applicable InteinatiGnal and
<br />natioial governmental regulations.
<br />11 6r >,s��� Pe�
<br />ERATORAGENT PRINT NAM
<br />X uriun[,17Cti Cif:Al _-n
<br />DRIVER: PARRA, RENE V
<br />DESTIN9LfON FACILITY.
<br />1_I/STERICYCLE INC FRESNO, CA
<br />STERICYCLE INC - NORTH SALT L., UI
<br />—_ STER I CYCLE INC SAN LEANDRO , CA
<br />STERICYCLE INC VERNON, CA
<br />DATE OF RECEIPT AT 2b o,;'
<br />TREATMENT FACILITY: It __
<br />
|