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3 <br /> t <br /> Daniels Sharpstnart Inc. 1: 34 52 Manifest#: 753M .i <br /> 4144 E The Ave Fax: 242 Customer*: 1044 -2 <br /> Fresno,CA 93725 s <br /> For Ch E orpency pats: Jun 24,2015 <br /> leer <br /> SPill,Luk Fire, e,or Accident Wednesday.626, <br /> Call CHEMTREC Day or NI fit 7 a <br /> 1 <br /> 3 8 8 4 t <br /> Generator: <br /> carrier: <br /> Slate al No.: Transporter Permits: <br /> Dani rt,Inc. CA-4707 <br /> Daniels SharPorneA Inc.-Fresno 111 WJackson 8 d EPA#CAL000344393 <br /> 4144E Theme Suits 720 <br /> Fresno CA 937258917 Chicago,IL 60601 US DOT#1295076 <br /> Attn:Russel Daniel 312- <br /> (558)573 { <br /> Vehicle Decal: <br /> Destination Facility: Alternate Destination Facility T lonsfer Facility: <br /> Daniela Shwp~kc, Curds Bay Energy 0 nift•Freario Plant <br /> 4144E Thera"Avs 3200 Hawkins Pant Road 4194 Eau Tharess <br /> Freano.CA 93725 Salfifflors.MD 21228 Ft ovio CA 09725 Transfer SOMWO&Data: <br /> Phone: $ Phone: 443.692.2300 Pune: { <br /> Perms r TS/OST-55 Perms e: 2005-WMR Persalt Y: <br /> Waste Collected: UN 3291 Regulated Medical Will," <br /> n.o.s 6.2 PG 11 OR <br /> Moto" <br /> Type <br /> Nwt, IM gw amaone Per Wine! <br /> S14 ' <br /> $14PH C�BIo/Pathhp v:,,,-o Total RMW Contalnre: <br /> o <br /> S22 322PH Box BIO/Path 1 Pharm/CAh ,Z i <br /> S32 S32PH •t 810/Path f Pham1 S14A+ 822PHAt 28 Bio/P /Phatm/C Esdi mated Oros@ wt <br /> S22A+ S32PHA+ Bio Pharm 1 Chemo tat plekup): <br /> S32A+ 364PHAs 43 8)0/ 7th/Phatm/Chemo <br /> S64A+ C22 43 GAL Bio/Path/Pharm/Chemo --------- <br /> P6 <br /> 4 C84 L BID/Path/Pharm/Chemo RMW Actual Net wt: <br /> P84 L Bio/Path/Pharm/Cheng ),50(08� ®� <br /> Tow rt Cmftingw 200 810/Path/Pharm/Chemo •_ <br /> Esda fisted Cron Wt(At Pickup): Safe/ Surgical Blue Wrap <br /> Shorpernart Actual Not Wt: 810/Path/Pharm/Chemo <br /> Transporter ID°s Returned: (LG) (MED) (SM) <br /> Clean Products Delivered: � <br /> Pmdm= Not"Cornmefftorojecroprr., _ <br /> � •fit�- { �/ + � <br /> ` #' Lt L-1!0 <br /> AltOM do 00,0Jostton Facility ; <br /> f tams: <br /> Healthcare Environmental Service lnc <br /> 1420 40Uj Street NW <br /> NO$8102 <br /> Phone: 701-282-7373 <br /> P ITF-208 <br /> 0lertetator CoMficatlon: 1 hereby declare that the content of thla odinelipmearit are fully and Moto b p _" dare <br /> eta"wed,packed,+narked,and labeled,and are h am aspects in p r o p mmsnt <br /> M8%%n;a. <br /> er dadare that the Mlprmnt of waste M fres of fesaardous a n.n detn by uta t Dods o s ant re regulations <br /> and/or appropriate state rules and ns. HEAI THCARE INCIN06 ORS <br /> Gltterator(Customer): ` <br /> Nww of a <br /> C T <br /> Route Driver: deed person(print): N 218te2015 <br /> L <br /> Transfer Applicable) <br /> river. of aumartaed gxlnq 1 1420 N. Street <br /> Nana of a (p,{,f Signature <br /> 70 `" r <br /> t)RC f r of " ref by P <br /> Ceroate of Receipt: <br /> n of Signature <br /> recab es n of we as covered by this r6nifest nu r. <br /> Certifloete of Deetruotlan: <br /> Noma or sumo psnpn(primp Signature Data <br />