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Feb. 25. 2016 11; 50AM <br />Barnett Medical Se s, Inc <br />�-� 3670 Enterprise Ave <br />Hayward Ca 94546 <br />EPAOCAL000404006 <br />Transporter 1094891 <br />r—`►®fetor; <br />Wine CoutitrV Care Center - Lodi <br />029 O1:scTumer Road <br />Lodi, 0A 06240 <br />O Transfer Fadllty: <br />® Deelinstlon Facility: <br />Danish Sharpsmart/BMS <br />Bamett Medloal ServiCe9,lnc <br />3670 Emofpr(seAve <br />2385 Arch Rd #200 <br />Hayward CAggg,tg <br />Stockton CA 95215 <br />(510) 429-9911 <br />(610) 4299911 <br />Date <br />Parmlt # TS/08T--106 <br />-k , <br />Datco' 8337D412P, 20/56 <br />510=429-9911 Ph 72091 <br />510-266-0945 Fax Manifest #: 2560 <br />Customer# <br />Contact: Pat WOW (40) Z34-33760 <br />Frequency of Service weekly <br />Pricing $455 pgrMonth FLAT R,ATF <br />171 Alternate Trenefor Facility <br />Daniels Sherpsm9d <br />4144 E. There3e Ave <br />Fresno GA 93725 <br />999.634-=2 <br />Permit# TSIOST 85 <br />Waste Collected: UN 3291 Regulated Medical Waste n.o.s. 6.2 PIS II <br />ShAW Containers <br />Regull <br />ed Medical Wase &111111 <br />Size Qty; <br />Size <br />Qty: Wt Size Qty: <br />Up to. <br />3 gal <br />2 gal <br />20gal <br />�^ S gal <br />4gal <br />38ga1 <br />9 gal <br />6 gal <br />40 gal <br />q'O 12 gal <br />6 gal <br />44 gal <br />�! 18 gal <br />12 gal <br />Weight <br />"al <br />Size Qty <br />kVelght- <br />Ps7Sho <br />tt <br />Amalgam -Size Qty Fixer: Size Qty <br />Lead; Size Qt Other-S1120-11t- <br />other: <br />ther-S(2eQtother: Type Size <br />Notes: / <br />ea addi tub beyond (e) <br />M <br />® Attemate Deatine(lon Faallity Cl Destlnatlon Facility <br />Curds Bay Energy Pholo Wasta Recycling Inc <br />3200 Hawitins Point Rd 2,990 Kerner 010 #C <br />Baltimore MD 21228 San Rafael CA 94901 <br />(410) 364-3228 (d1S) 459,880'7 <br />Permlt f1200S-WMI-0036 PermO PWR 122164 <br />Trate Chemilmhum <br />Size Qty: Wt <br />12 gal <br />18 gal <br />20 gal <br />38 gal <br />Weight Product Delivered. <br />Item # Description: <br />Developer:S12e qty I <br />Qt: <br />Generator Certlfkation7 I hereby certify that rh erontents of this consignment are fully and accurately described above by proper shipping name <br />and are ciessified, packed, markEd, and labeled, enc( ate in all aspects in proper condition tvr rMnapon 5—rding to <br />applicable govarnmen t regulations - <br />I further declare that this shipment of we hazardous and mercury waste as defined by the US oodeof federal <br />regulations and/or appropriate state and ogul ons, <br />Generator (Cuotorater) <br />Name of authorized person (pr nt) Ignat Dat i <br />Route Driver <br />Name nfauthorized person (print) <br />q17- e <br />Certificate of Destruction <br />Incineration NBm® of authorized person (print) �n tur Date <br />Brett Espicha 04/22/2015 <br />Certificate of Destruction <br />Autoclaved Name of authorized person (print) 51gnsture Date <br />Received Time Feb.25. 2016 11:52AM No.1498 <br />