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ocrn~BLUE BIO HAZARDOUS WASTE SHIPPING DOCUMENT <br />EHVIAOHMENTRL SERVICES. IHC . <br />925 WEST ESTHER STREET • LONG BEACH, CA 90813 <br />Generator's Name and Mailing Address <br />C:...1~'1 0€ $A0-+~ A~A p . .o. <br /><.o (..,,-.J \C. C.el\..)¼'i r IA-?..A <br />A . 70 'l.. <br />Transporter 1 Company Name <br />OCEAN BLUE ENVIRONMENTAL SERVICES, INC. <br />925 WEST ESTHER STREET <br />LONG BEACH , CA 90813 <br />Disposal Facility Name and Site Address <br />MEDICAL WASTE SERVICE <br />7321 QUIMBY STREET <br />PARAMOUNT, CA 90723 <br />WASTE DESCRIPTION <br />a. <br />REGULATED MEDICAL WASTE, 6.2, UN3291, PGII <br />Additional Descriptions for Materials Listed Above & Size of Container <br />J3 {oc)l ;L.. fc ll-~S <br />Special Handling Instructions and Additional Information <br />WEAR GLOVES AND GOGGLES WHEN HANDLING <br />EMERGENCY PHONE NUMBER (562) 624-4120 <br />JOB# <br />PHONE <br />DR# \ ~-\ 7 <br />PHONE: 1-562-624-4120 <br />PERMIT# TS/OST -94 <br />PHONE: 1-888-610-1311 <br />Containers Tota l Unit <br />No. "Ji e Quantit Wt. Vol. <br />F w p <br />Site Location: <br />~()(_) ~ \Dll'i~~eV'\li\ )\ <br />GENERATOR'S CERTIFICATION: I hereby certify that the contents of this shipment are fully and accurately described and are in <br />all respects in proper condition for transport according to the applicable regulations of the Department of Transportation. <br />Date <br />Signature Month Day Year <br />Ob 13 \ <br />Date <br />Printed / Typed Name <br />o~i~~z_ <br />Signature Month Day Year <br />~ OG ~ <br />DISCREPANCY INDICATION SPACE <br />Date <br />Printed/ Typed Name Signature Month Day Year