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Feb, 25. 2016 11:54AM No. 8337 P. 45/56. <br />Barnett Medical Se es, Inc 510-.429-9911 Ph ® bate: '"�2Q 3i5 <br />a 3670 Enterprise Ave 510-266-0945 F�X Manifest #: <br />/90,�Ayward Ca 94545 l� �J e9�lds3 aaaas Customer#6n <br />EPA#CAIL000404090 <br />levator: <br />Transporter ID94891 Contact: Pat Wok (2q 334-Y1 <br />4ft0ine Gow4 tt sire Center - LOd-1 wookly <br />22..1 Mst Ti4mer Road Frequency of Service <br />Lodi. A 95240 4007u <br />Pricing <br />0Transfer Facility; <br />Waste <br />0 Deatinstio)n Faclllty: <br />Daniels t WPOmerVISMS <br />Barnett Medical Sarvio"Jro <br />3670 En(erpnse Ave <br />2a8( Arco Rd *200 <br />Heyward CA 94546 <br />Stockton CA 06216 <br />(010) 429-9911 <br />(510) 4285911 <br />ateb <br />Date- <br />Permit A T3/33T.106 <br />/S <br />6//(j— <br />C1 Altemate Transfer Facility <br />Danlela 8hatpemart <br />4144 E. Therese Ave <br />Fresno CA 93725 <br />559-B34-6252 <br />Pormit 0 TSIOST 55 <br />Waste Collected: UN 3291 Regulated Medical Waste n.o.s. 6.2 PG 11 <br />SbAE92 Q (talners <br />Regulated M <br />cal Wastet <br />Pharmaceutical <br />Size Qty; <br />Size Qty: <br />Wt <br />size Qty: <br />Up to: <br />3 gal <br />2 gal <br />20 gal <br />8 gal <br />4 gal <br />38 gal <br />9 gal <br />6 gal <br />40 gal <br />12 gal <br />8gal <br />44 gal <br />18 gal <br />12 gal <br />Weight <br />^al <br />Size Qty <br />Weight: <br />Pathogen: <br />Arrialgam:Size Qty Fixer:Slze Qty DeveIoper-S)ze_ <br />Lead:51ze QZ__ Other;S(ze Qt <br />Other: Type$ize Qt <br />Notes: ��'�` <br />Wt <br />Weight <br />Qty <br />13 Alternate Doetlnatlon Facility <br />Curfs Bay Energy <br />3200 Hawkins Point Rd <br />beitlmore MD 21226 <br />(410) 354-3228 <br />Permit # 2005-WMI-0036 <br />u <br />I7 Destination Facility <br />Photo Waste Recycling Inc <br />28ao Keller Blvd #G <br />San Rareel CA 9d®01 <br />(41S)459-0307 <br />Permlj# PWR 122764 <br />Size Qty: Wt <br />12gal <br />18 gal <br />20 gal <br />38 gal <br />ProaugLUqLLverew <br />Item # Description: Qt; <br />Generator Certification: I hereby certi ry that the"contents of this con signm ent are fully and accurately described above by proper Shipping name <br />and are classified, packed, marked, and labeled, and ere In all aspects in proper condition for transport scoording to <br />applicable government regulations. <br />I further dedare that thl8 shipment cf wasw is free of hazardous and niercurywewa as defined by the US codeoffederal <br />regulations and/or epproprlate mate rule, etfB'reuutations. <br />Generator (Customer) <br />Route Driver <br />Certificate of Destruction <br />Incl neration <br />Certificate of Destruction <br />Autodaved <br />Received Time Feb. 25 <br />Name of authori ed person (print) <br />"'a1.—L.QV'pL-. <br />Name ofauthorIzed person (print) <br />Name of authorized person (print) <br />Brett Espicha <br />Name of authorized person (print) Signature <br />2016 11:52AM No -1498 <br />V <br />JL 1 <br />Date <br />Date <br />10/06/2015 <br />Date <br />