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Feb, 25, 2016 11; 55AM <br />Barnett Medical Se s, Inc <br />W 3670 Enterprise Ave <br />Hayward Ca 94545 <br />EPAOCAL000404096 <br />Transporter IM4891 <br />•"-`Iierator: <br />W! iie. CountrV Cara 4—I -anter -- Lodi' <br />a21'n*stTurner Pead <br />CA 96240 <br />510-429-9911 Ph <br />510-266-0945 Fax <br />Contact: Pat <br />Frequency of Service v�eekly <br />Pricing 400M <br />No. 8337 P, 54/56 <br />Date; - ,�,�,Nf-V 15 <br />85732-5 <br />Manifest A. <br />Customer# <br />Work: pq).334-r6c <br />0 Transfer Pwility: <br />aanlole $harpsmarveMs <br />3670 Enterprise Av® <br />Hayward CA 94545 <br />(510) 429-9811 <br />R DeeGnetion Faalty: <br />Barnett Madloel Services, Ino <br />2385 Ard1 Rd 8200 , <br />Stockton CA 95215 <br />L610) 429-9911 <br />Permit 0TB103T108 1 <br />O Alternate Transfer Facility <br />Daniels Sherp3maa <br />4144 E. Therese Ave <br />Fresno CA 98725 <br />058.834.8252 <br />Permit 4T8/08T-68 <br />O Alternate D"drkatlon Facility <br />Curtis Bay Ertetgy <br />3200 H.aL Point Rd <br />Baltimore MD 21226 <br />-(410)W-348 <br />Permit#200s-WMI.0030 <br />O DeaNnetlon Fadlity <br />Photo Waste Recycling Ino <br />2980 Kerner Blvd #C <br />San Rafael CA 94901 <br />(415)A59-8807 <br />Permit#PWR122784 <br />Pharmai&u6cal <br />r <br />51ze Qty. <br />Size Qty: <br />, <br />Dat9 <br />Det / <br />Up to: <br />Waste Collected: UN 37.91 Regulated Medical Waste n.o.s. 6.2 PG 0 <br />Sharps ainers <br />Reguletrd Medical <br />Waste <br />Pharmai&u6cal <br />Trace Chemotherapy <br />51ze Qty. <br />Size Qty: <br />Wt <br />Size Qty: Wt: <br />She, Qty: Wt <br />Up to: <br />3 gal <br />2 gal <br />20 gal <br />8 ga I <br />12 ga I <br />4gal <br />38 gal <br />9 gal <br />18 gal . <br />Goal <br />40 gal <br />12 gal <br />20 gal . <br />8 gal <br />44gal <br />18 gal <br />.38 gal. <br />12 gal <br />Weight <br />mal <br />Size Qty Weight <br />Iftgduct Dellve[Cd; <br />bveight: <br />Pathogen: <br />Item 4 Oescriptlon., Qt: <br />Dental Waste: <br />Amalgam: Size Qty Fixer: Size Qty Developer. Size Qty <br />Leg &S1241 Qt other., Size Qty_ <br />Other: Type Size Q <br />Notes: Hours 6-5 <br />Generator Certification; <br />Generator (Custom®r) <br />Route Driver <br />K--\ ' <br />c:ert)Flcate of Destruction <br />Incineration <br />I hereby certify that the contents of this eonxignmentare fully and accuratelydeserlbed above by propershipping name <br />and ars clarslfied, packed, marked, and labeled, and are Inall aspects In properreond(tlon for transport according to <br />applirable'gowrhment regulations. <br />I further dedare that this shlpment of woste is free of hazardous and mercury wome as defined by the Lis rod eof federal <br />reaul®tions end/dr appropriate state rules and regulations - <br />of authorized person <br />Name Authorized person (print) <br />Name of authorized person (print) <br />Brett Esplchta <br />Signature <br />slgnatur <br />Certificate of Destruction <br />Autodaved Nome of authorized person (print) Signature <br />Received Time Feb,25, 2016 11,52AM No -1498 <br />Date <br />Date <br />12/09/2015 <br />Date <br />