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11/12/2010 14:19 209239d=9 BUSINESS OFFI PAGE 18 <br /> ° AAEDICAL WASTETRAtCKIN{;FQREA NUMBER <br /> 1 S7 IN CASE o6 �r�� <br /> C 1- 61 "Ai MINA% <br /> 1.'Generator's Wane Addreee and Tdophara Number I <br /> 0TH.- Cathy/Maxine <br /> 14AMOk CARE b XWB <br /> 410 EAST900D AVE <br /> WAY=CA, CA 95336- 3167 <br /> (209) 239-1222 11/26/2009 <br /> crexeawesa NurAea <br /> 605N77-002 G a*A1 Reamnu ma A <br /> i2A.DESCRIPMN OF WA&n 2e. Cr3MMNER TYPE RC. NO OF Ra VOLUME <br /> REGULATMMEDICAL WAST[,n,o.s..82, T8S? — 90 Gaal !ab (ral.®) (12 Cu ft) CONTAINER„ <br /> UN 3291,PG 11 <br /> REGULATED Mt=DtCALWASiE,n.o.s..fi.2, T041 - 37 r94a Tuo ( a) (4.9 cu ft) Cu Fi. <br /> UN 7291••PQ II _ <br /> Cy <br /> p <br /> � REGUL,ATED M@OICAI.WASTE,n.o.s..82, ® 6A--ft-) ' � P <br /> Q UN 3291,PG it <br /> Q REGULATW MEDICAL WASTE,n,a,N,6.2, Cu Ft. <br /> UN 3291,PG 11 Cu Ft. <br /> W REGULATED MEDIM WASTE IIAL.62. T815 20 <br /> UN 3291.P611 Cu FI, <br /> RtGULATEDWEDICALWASTE,n.o�..S.2. TY15 — 20 I3al Tart (Chem%%) 42.7 ear it) <br /> IAV 3281,PG 11 Cu P7._ <br /> REGULATED MEDDAL wWL n.c.s-6.2, "P' - <br /> UN 3281,PG a Cu ft. <br /> REGULATED MEDICAL WASTE.n.o.s..6.2, <br /> IN 3291.PG n _ W. Cu FL <br /> EI1AfMAC9Utica2 Vaeee M" <br /> t:u <br /> 3.Genwetw%Csrt{nceWn:11 hereby deelma that the contents of thIn conogmnam am tiny MW ft=rarory TOTALS► Cu Fl. <br /> dnWrlbod about,by the proper shppin®name,and are cUssified, ntrrkud And labeVedlplace an <br /> am to al ret•,pW$In proper c bion fir transport timordinp to appkable hrtprngtimaj and ntnp�r:Pl r�rnr ant 1 rorye:Inl9rm ' <br /> J•IPrinMNT JRNaamme _ ! Qata f/ 2�{ <br /> 4.TRANSPORTER 1a�2c1*Cie, Inc. Phone-! — 19994 <br /> rc 4135 Best swift Ave. App11mblePlv*tNumb <br /> a <br /> Fresno,Ca 93722 Thie to a shipNent <br /> a TRANSPORTER CERTIFICATION:Remlo of medical aastre ms*ascribed above. <br /> ~ 'Ry-7 L V Tomy- <br /> h�rintfrypc Name err Sgnzturo ryas N 9 <br /> 5 INTERMEDIATE HANDLER 2 JTRANSPOITTFR a ADDRESS: F Mono a: <br /> N <br /> 4pplicvable Permit Numhorg; <br /> I <br /> INTERMEDIATE HANDLER ITRANSPORTEA CERTIMATION:Rocoipt d nodical vwste as Ocvrtbcd above. <br /> PrkrUType Noma _Sipatum bate <br /> a a 6.WrERMEDIATE HANIN,ER;1;TRANSPORTER 3 ADDRESS: Phone P, <br /> 1'u A,pplirAW.Permit Number.: <br /> 2 i INTERMEDIATE HANDLER/TRANSPORTER CERT ICAT10N:Receipt of rru?dcai vamle as deacribea above <br /> z <br /> PrtnVType Namo. S ga>,11rrr. DAM. _ <br /> 7.DISCREPANCY INDICATPON <br /> QU It IA : Noth Sak L .UT <br /> AA DC Facttlty a®.Afrrgtq Pastyuyc <br /> j aG.ANema4a FaellRy: W.Altsnm%PaeRhy: <br /> cL !Ac CYCtE Nuc STERiCYCLE IMC P.ICY INC <br /> A I as w 3wIF1r AVE 90 N 1100 WEST 90UNORMSAVE. 2775 <br /> O FRESVO.CA 99722 NORTH SALT LAKE CITY.UT SUN VALLEY.CA 51353 VERNON,CA <br /> (553)alt+-0994 (SOS)9136.Ism (8'19)604-6537 (3233 SG2- <br /> z # 'B"S3S,!"SJIaS'T�S 7 C =V Indneraft Pw=P = 91-12 P-6,P-I 15 <br /> a <br /> a 1^ TP?EATAlIEIVT FACILITY:I certify the I haw bt?An aulhorizQd by the applirt+,blp ' to accept ureteaaled macflral u✓?i,t4c tired tPtai I P12k9 <br /> I.- E r"' 'Vad thA 2bOve Ind w ,% in wcord gnce wMh the r"uh•-rn 1pip 9in th_, ation. <br /> �/� 1.i/ I <br /> s'trf� NOV 2 5 ZOQ9 <br /> PnntlType Name Q —1�� � 9nttluro_ Dwe <br /> ORIGINAL i <br />