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F e b, 25. 2016 11; 55 AM <br />Batnett Medical Se s, Inc <br />3670 Enterprise Ave <br />Hayward Ca 94545 <br />EPAOCAL000404096 <br />Transponer ID94691 <br />)erator: <br />I.Ohne CauntrV Care Center - Lodi <br />321 West Turn-` RbBd <br />Lodi, CA Q-2-410 <br />5'10429•-9911 Ph <br />510-2660945 Fax <br />Contact: Pat <br />. . . s,veekly <br />Frequency of Service <br />Pricing 448$75 <br />No. 8337• P. 51/565 <br />Date:% <br />Manifest #� <br />Customer# 25,930 <br />UVOrK: (249) 354-srlfi <br />O TtanSfer Facility: <br />® Destination FaCllly <br />❑ Alternate Transfer Foalllty <br />O Alternate Desdrietion Fao111V <br />❑ Destination Vaollhy <br />Denials Sherpsmert161YI5 <br />Bbrr16'tt Medical Servloes,inC <br />Daniels She,psmarl <br />Curtis Bey �11ergY <br />Photo Waste Recycling Ino <br />8670 IErftrpri a Ave <br />2386 Aroh Rd 9200 <br />4144 E. Therese Ave <br />310, Hawkins Point Rd <br />2960 Kerner Blvd #C <br />Hayward CA 04645 <br />SloOdon CA 98216 <br />Fm%no CA 83725 <br />Balilmora MD 21226 <br />sat, Rafael CA W901 <br />(510) 428-9811 <br />(510) 429-9911 <br />559534-6282 <br />'(410) $54.3228 <br />(415) 459-8807 <br />38 gal <br />Permit #TS/OST--106 <br />It r <br />PermitftT5losT--55 <br />Permit #2005-WMI-00 6 <br />PermisrtpWR1227e4 <br />Date <br />Date <br />12 gal <br />2U 8131 <br />$ gal <br />X11, este: <br />Amalgam:Slzs Qty Fixer, Size QtyDeveloper. Size Qty <br />Laid: Sixe Qt Other: Sl Xe 4t <br />Other: Type-'Size�Qt <br />Notes: . ours <br />Generator Cerdffeatlon: I hereby certify drat 1h0oonterin ofthi9 cons(gnmenterefully and aca,rate(ydescribed above by proper shipping name <br />end are classified, packed, narked, and labeled, and are In dlle5pects in proper Condltlon for transport acmrding to <br />epp(ica We govennmen It regulations. <br />Generator (Custorner). <br />Route Driver <br />Certificate of Destruction <br />Incineration <br />further dedere that this shipment of waste is toe of hazardoys and men_dry W3Ste as defined by the us code of Were <br />regulations and/or apprOP i to state rules and reguladon <br />Name of auihorized person (print) Signature Date <br />Ne me ot d person print) Signatur aye <br />r ti <br />Nome of authorized person (pltnt) <br />Brett Espicha <br />Date <br />11/18/2015 <br />Certificate of Destruction <br />Autoclaved NaMe of authorized person (print) Signature Date <br />Received Time Feb,25, 2016 11:52AM No,1498 <br />Waste Collected: UN 3291 Regulated Medical Waste n.o.s. 6.2 PG II <br />Sharps Contilvexs <br />Regulated Medical <br />W®�e <br />Pharmaceutleal <br />Trace ChCMDberaQv <br />S ae Qty: <br />Size Qty: <br />Wt <br />Size Qty: Wt., <br />size_ qty:. wt <br />Up to: <br />3 gal <br />2 gal <br />20 gal <br />a gal <br />12 gal <br />4 gal <br />38 gal <br />9 gal <br />18 gal <br />6 gal <br />40 gal <br />12 gal <br />2U 8131 <br />$ gal <br />44 gal <br />18 gal <br />38 gal <br />12 gal <br />Weight <br />mai <br />Size Qty Weight <br />elivered; <br />Weight: <br />Description; Qt: <br />X11, este: <br />Amalgam:Slzs Qty Fixer, Size QtyDeveloper. Size Qty <br />Laid: Sixe Qt Other: Sl Xe 4t <br />Other: Type-'Size�Qt <br />Notes: . ours <br />Generator Cerdffeatlon: I hereby certify drat 1h0oonterin ofthi9 cons(gnmenterefully and aca,rate(ydescribed above by proper shipping name <br />end are classified, packed, narked, and labeled, and are In dlle5pects in proper Condltlon for transport acmrding to <br />epp(ica We govennmen It regulations. <br />Generator (Custorner). <br />Route Driver <br />Certificate of Destruction <br />Incineration <br />further dedere that this shipment of waste is toe of hazardoys and men_dry W3Ste as defined by the us code of Were <br />regulations and/or apprOP i to state rules and reguladon <br />Name of auihorized person (print) Signature Date <br />Ne me ot d person print) Signatur aye <br />r ti <br />Nome of authorized person (pltnt) <br />Brett Espicha <br />Date <br />11/18/2015 <br />Certificate of Destruction <br />Autoclaved NaMe of authorized person (print) Signature Date <br />Received Time Feb,25, 2016 11:52AM No,1498 <br />