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I hereby declare that the contents of this <br />consignment are fully and accurately <br />described above by the proper shipping <br />2 <br />- <br />name, and are classified, packaged, marked <br />TEAR HERE --- <br />and labelled/placarded, and are in all <br />respects in proper condition for transport <br />according to applicable international and <br />national governmental regulations. <br />--------- <br />HAZARDOUS MATERIAL SHIPPING DOCUMENT <br />(,grin/ <br />TRANSPORTER: Steri cycle, Inc <br />`Cl(�^�—EP <br />�.J lwl c � <br />4135 West Swift Ave. <br />RATOR AGENT PR1NT N <br />Fresno, Ca 93722 <br />(55 275-0994 <br />-- ; <br />X <br />24 EMERGENCY PHONE 1-800 234-0051 <br />.... _.AUTHORIZED S I GNAT <br />_ --------- -- -- <br />GENERATOR ACCOUNT 4: 6018549 002 <br />Kaiser/West <br />DRIVER: B DER, UI W <br />7373 West Lane <br />Stockton , CA 952103377 <br />(209) 476-5444 <br />X-- <br />DR I V S i A E <br />---- ------- <br />SERVICE DATE 06129!0 03:10:00 PM <br />SHIPPING DOCUMENT II: MDFR003XHV <br />WASTE TRANSFER DATE; / 1 <br />REGULATED MED I CAL WASTE 6, 2, UN32.91, PGI I <br />I_ITHIS IS A THROUGH SHIPMENT. <br />TOTAL CONTAINERS COLLECTED: 75 <br />TOTAL VOLUME COLLECTED: 403.4 CU FT <br />DESTINAT FACILITY; <br />VOL <br />STERICYCLE INC - FRESNO, CA <br />SUMMARY(By ContType) QTY CF <br />STERICYCLE INC - NORTH SALT L, UT <br />SfERICYCLE INC - SAN LEANDRO, CA <br />BC99 Box(Ehemo), O Tar 1 0 <br />I_ STERICYCLE INC VERNON, CA <br />RX99 Pharmaceutical Wa 7 0 <br />TB14 44 Gal Tub(Bio), 55 324.5 <br />DATE OF RECEIPT AT <br />TREATMENT FACILITY: �/�lz�t(/ <br />- <br />T857 O Gal Tub(Bio)CT 5 60 <br />TY15 20 Gal Tub(Chemo) 7 18.9 <br />----Kms`-_- <br />DEL I VERY DOCUMENT #: PDFRO0",XHV <br />---------- <br />" - -- --- <br />00A0101 BC99 OAO1D2 RX99 OOAOID3 RX99 <br />TOTAL DELIVERED ITEMS: 37 <br />00AO1D4 RX99 0OA0107 RX99 0OA0108 RX99 <br />® <br />0OA0105 RX99 0OAO1D6 RX99 OOA0IEO TB14 <br />ITEM OTY <br />00A01CV TBA 0OAO1CW T814 0OA01CS T814 <br />OA01CT TB14 0OA0100 TB14 OOA01CX TB14 <br />TB57 90 Gal Tub(Bio)CT 4 <br />00A01CU TB14 0OA01CP T014 ODA01EB T014 <br />TB14 44 Gal Tub(Bio), C 28 <br />00AO1E9 T814 OAOICQ TB14 0OA01CR T014 <br />TY15 20 Gal Tub(Chemo), 5 <br />0OA010Y TB14 0OA01OZ T814 0OA01E4 TB14 <br />OOA01E5 TB14 0OA010S TB14 0OA010T TB14 <br />0OA01OX TB14 0OA01OU TB14 OOA0IDP TB14 <br />0OA019Q TB14 ODA010R TB14 O0A01E1 TB14 <br />OOAOIE2 T014 OOA01E3 T814 0OA01EC TB14 <br />OAOI-JA TB14 0OA01EA TB14 OOA01EB TB14 <br />O0A01F6 TB14 00AO1E7 T814 0OA01DU TB14 <br />OOAOIDW T814 00AO1J7 T614 00A01J4 TB14 <br />00 IJ5 TB14 OAO1JJ22 T814 OOAO1JTB14 00ADIJCC TB14 <br />OOA01J9 T814 0OA01J6 TB14 OOAOIJ3 TB14 <br />OOA01JM T614 00A0IJN T014 OOA01JJ TB14 <br />OA01JG T014 OOA01JK TB14 OOAOIJH TB14 <br />0OA01-JO T014 0OA01JE TB14 0OA01JO T814 <br />OOA0IDG TB57 OAO1DH TB57 0OA0101 T857 <br />��CL����� <br />OOA010J TB57 OOA01DK TB57 OA0109 TY15 <br />• �n` ti <br />OUA01DA TY16 OA0108 TY15 0OA010C TY15 <br />0OA0I0D TY15 OOA01DE TY15 OOAOIDF TY15 <br />