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Feb, 25, 2016 11:49AM <br />No, 8337 '- 12/56 <br />Barnett Medical sen, Inc 5 1 0.429-9911 Ph <br />0 <br />Date: '-'z ~��� <br />• Manifest #: <br />�a 30620 San Antonio S 02q -cqoqq 4 Fax <br />San Jogiiin G�l71it�/ <br />2550 <br />Customer# ` <br />ayward Ca 94544 <br />Wt <br />�t <br />OpQ••••I r oiterlt)#4891Environmental Health DWartment <br />DIRE CTOI <br />O <br />t y 1868 EasUfawlton Avenue <br />Linda Tur alta, R S <br />�r <br />y: am Carter -L � PROGRAM COORDINATORS <br />weekly Robert McClellon, REHS <br />Itockton, CSI®ffoer�oa <br />t3 , oad OTY05-e6232 <br />. LOA Jeff Carruesco, REHS, RDI <br />q�iFo.R� Website: t�►iloUr jgov.orgehc�Qr hr)onih FLAT -RAE Kasey Foley, REHS <br />Phone: (209) 468-3420 <br />Adrienne Ellsaesser, REHS <br />Rodney Estrad REHS <br />Willy Ng, R <br />o Transfer Facilitlr- X Destination FaCiiity, ❑ Alternate Transfer Farallty o DestlnatlOn f aalllry <br />pemati Medlcal Sendose.lnc Harnett Medlcal Semices,lnc Health%fnm Servioes Photo Waste RetVC11n9 <br />a Altemate Daetinelian Faciti Alternate Transfer Fecillty <br />(no Come uiy enereY Daniels Sharpsman <br />30620 aan Antonio 6t 09SArch Rd 9200 0800 H- uncoln Ave 2680 Kemar Blvd #C <br />Hayward CA 84504 Stook(on CA 9521 B Forrlor CA 95926 San Rafael CA94901 <br />3200 Hawkins rolm Rd diad E, Therese Ave <br />Baltimore MD 21220 resno CA 93729 <br />(510) 429-9911 (510) 428-9911 653-630.3339 (416) 469.8807 <br />Permit #TS87 Permit #TS/0ST-106 Permit 9TS-89 Pezrnk A PWR 122704 <br />(410) 854-3228 559-834-8252 <br />Parnnil. * 2005-WMI-0036 Penult -4 TS1QST-65 <br />4gal <br />33 gal <br />9gal <br />Waste Collected: UN 3291 Regulated Medical Waste n.o.s. 6.2 PG II <br />Sharps Containers <br />Regulated Medical Waste <br />Pharmaceutleal <br />Trace Chemotherapy <br />Size Qty: <br />Si?e Qty: <br />Wt <br />Size <br />Qty: <br />Wt; <br />Size Qty: wt <br />Up to: <br />3 gal <br />I S <br />2 gal <br />20 gal <br />8 gal <br />�_ <br />12 gal <br />4gal <br />33 gal <br />9gal <br />es <br />18 gal <br />6 gal <br />40 gal �� <br />12 gal <br />3` <br />20 gal <br />8 gal <br />44 gal <br />18 gal <br />38 gal <br />12 gal <br />Size <br />CIty <br />Weight <br />�'al <br />Pathogen; <br />RM4999-fdivered, <br />Vveight: <br />Item It oescription: Qt. <br />Dental Waste: <br />Amalgatn:size Qry Flxert51ze Qty Developer151ze Qty. <br />Lead: Size Qt Other:Size Qt <br />Other; Type Size Qt <br />p U�a <br />Notes: 5ddi Wb be-jond (R) <br />Generator Certification: <br />I, Generator (CLIBtomer) <br />Route Driver <br />Certificate of Destruction <br />Incineration <br />CerdFiceto of Destruction <br />Autoclaved <br />Received Time Feb,25, <br />r <br />Iherebyrertifythat thecontentsofthis oonsl;nmant are fuIandaccuratelydescribed abovebyproper shippingname <br />and are classified;packed, marled, and labeled, and are In rill aspects In propercondttion for transport according to <br />applicable povernmeitmgulatlons. <br />I furtherd edare that this shi pmenc o f wave Is free of hazardou s and m ercury waste w defined by the 05 rod e o f fadere I <br />reM,llatlohy¢nd/oopproprlatestate rules and regulations, _ , , <br />Name ofe'utvad parr;on (prh t) g8natufe— DatA <br />Nama kauthorized person (p6t) ¢gnature at <br />14amaofeuthorlcedperson(0h0 /]amu s Date <br />Brett Espicha �02/26/2015 <br />Na me of au tho dzed person ( print) Signature Date <br />2016 11:52AM No, 1498 <br />