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Feb, 25, 2016 11; 54AM <br />uarnatt Medical Se s, Inc <br />r� 3670 Enterprise Ave <br />Hayward Ca 94545 <br />EhA#CAL000404096 <br />"— Transporter 113#4891 <br />1@r9libt" <br />Waage Calcii Care Center Lode <br />321 Went Tumor Road <br />Lalli, CAwZ4L <br />-510429-9911 Ph <br />510-2660945 Fax <br />Contact: Pat <br />Frequency of Service tet kry <br />Pricing 4QQ$-5 <br />No, 8337 P, 49/56 <br />Date: F r <br />Manifest #: 0-35$7 <br />Customer# 2560 <br />WQIK: P9) 3U,3764 <br />O Transfer Facility: <br />M Dealination Faeillty: <br />0 Alternate Transfer Fe -Ally <br />O AlterneI4 PeoUnallon Facility <br />A Peednation Facility <br />Daniela SherppamarUBMs <br />3670 Ehterpdse Ave <br />Parnatt Medical Servioess,lne <br />2368Aroh Rd 0200 <br />DanieJs Sharpsma•1 <br />4144 E. ThereseAve <br />CUI1Is Bay Energy <br />3200 Hewldna POInt Rd <br />Photo Washi Recycling Inc <br />2980 Kepner pled 00 <br />Maywatd CA 94545 <br />(510) 429-9811 <br />Pala <br />Stockton CA 05215 <br />(510) 42"D1 <br />Permit#TSfOSV06 <br />--`Dal <br />Froeno CA 83725 <br />66"34-0262 <br />Permit 9T$/OS1=55 <br />Baltimore MD 21226 <br />(410) 354.3228 <br />Permh42006-WMI.0038 <br />San Rafael CA OUDII <br />(415) 459-8807 <br />Permn;ePWR122764 <br />Waste Collected: UN 3291 Regulated Medical Waste n.o.s. 6.2 PIS 11 <br />Sharps Containers <br />Regulated Medical Waste <br />Pharmaceutical <br />IMo ChIgivigiberapy <br />51fe Qty: <br />Slze Qty: Wt <br />Size Qty: Wt: <br />Size Qty: Wt <br />Up to: <br />3 gal <br />2 gal <br />20 gal <br />8 gal <br />12 gal <br />4 gal <br />38 gal <br />9 gal <br />18 gal <br />6gal• <br />40 gal <br />12 gal <br />20 gal <br />8 gal <br />44 gal .� <br />18 gal <br />38 gal <br />12 gal <br />Weight <br />tai <br />Size Qty Weight <br />Product gelivered: <br />Weight: <br />pattiggem <br />Item # Description: Qt: <br />Dental Waste: <br />ArnaIgam:Size Qty FIXerSize Qty <br />Lead: Size Qt Other; Size Qt <br />Other: Type Size <br />Notes: Tours 8-F <br />Developer: Size Qty <br />Generator Certification I hereby certify that the contents of this consignment are fully and accurately described above by proper shipping name <br />and are Oassiflod, packed, marked, and labeled, and are in all aspects In proper condition for transport according to <br />applicable government regulations, <br />I further deelare that this shipment of Waste Is free of hazardoui end mercury wane as defined by the US cod eof federal <br />regulations and/or appropriate state rules and gulations. <br />Generator (Customer), <br />Name of authorized person (print) — Signature Pate <br />Route Driver �! <br />Name of horized person (print) Signature plate <br />Certificate of Destruction <br />Incineration Name of authorized person (print)�n ur Dete <br />Brett Espicha 11/05/2015 <br />Certificate of Destruction <br />Autoclaved Name of authorized person (print) Signature Data <br />Received Time Feb,25. 2016 11.52AM No -1498 <br />