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Barnett Medical !!'es, Inc 510-42 -Ml <br /> 9 9911 �'h <br /> 1. 3070 Enterprise Ave 510-266-0945 Fax rltff���"9l <br /> Hayward Ca 94545 (;l,t,tcarnf�r�� <br /> !—:Pk#CAL000404096 <br /> Tra�sportetlD=4891 <br /> Generator, - Contact: <br /> Frequency of Servicirl <br /> Pricing <br /> Transter Petr X Opstma*§oni aimfUtem Transfer Fac t iy C7 AlNfnaW t sbn tw»rAczr� 1 ofstsn Fac*ty <br /> Ourvets'shairps-art, Bartlett Medical tt;., mart Curtis Bay coeepy PhO00#00 RooyA ftx <br /> 3Ei7t3 ise A 5 A:ct Rd 0200 Ave 3204 Hawkins Pont Rd 2W#4"r Blvd tr <br /> tkayiill CA 94 CA95215 ?' 725 Ballimorit MD 21220 Son Rdat8l GA 04601 <br /> ksi4l429 991 (410)354.3228 (415)450.8807 <br /> 166 ST-55 Permit 2005-WAVOTrb Permit#PWR IW64 <br /> Waste Collected: Ute 3231 Regulated Medical Waste n.os.6.2 PG tl <br /> 3harps Containers Regulated Medical Waste PharmaceuticalTrace th 2.tt1grgpy <br /> Size Qty. Size Qty Wt Size Qty, Wt: Size Qty: Wt <br /> 3 gat <br /> 20 al 8 gal - -- 12 gal <br /> 38 ga; 9 gal 18 gal <br /> *,0 '?gal 20 gal <br /> ' ai 18ga9 _ 38 gal <br /> gal ��° Weight - <br /> IS gal Size Qty Weight Product Delivered: <br /> V° ijC..9ht; Pathogen Item# Description: Qt: <br /> Q+grttaI Waste. <br /> adgam-Size­_Q,) _Fixer:Sze_ Q y__Devefirrper Sia<_- Qt <br /> 59ze— ' ze _ _ Qt <br /> t:Type _ Size Qt } <br /> ^�edtGX C Fkct pt 7f � tr'ks �.„.. <br /> t ttsecorrtents o4 this consignment are fully and accurately etestritsed above,by proper shippin name <br /> ked,marked,and labeled,and are in all aspects m proper condition(or transport according to <br /> k �u t regulations, <br /> this shipment of waste is free of hazard s and mercury wastri as defined by they US(orient fed"ral <br /> appropriate state nAes and regulations% <br /> - <br /> r F i, Signature Ua <br /> ifl,NN <br /> .ri , l <br /> x= ' Signature (7t 1 t <br /> Oim <br /> *, $igriatut oto . ;. <br /> bE �i d t <br /> ;ygtta$Ast4^ !� <br />