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STRAIGHT BILL OF LADING & Metcal Waste Trackina Document
<br />Date:12/6/2013
<br />P.O. #:
<br />Shipment: WMHSSAC-80
<br />Pagel of1
<br />Shipped From:
<br />Shipped To:
<br />Waste Management Healthcare Solutions, Inc.
<br />Daniels Sharpsmart, Inc.
<br />5337 Luce Avenue, BLDG 243G
<br />4144 E Therese Avenue
<br />McClellan, CA 95652
<br />Fresno, CA 93725
<br />Contact: Derek Rumsey
<br />Phone: 559-834-6252
<br />Phone: 916-873-9630
<br />Permit #TS/ OST 55
<br />TS -98
<br />Date: 12/6/2013
<br />Waste Received: 12/3-12/5
<br />Received: Daniels Sharpsmart, Inc, for treatment
<br />Waste Shipped: 12/6/13
<br />Trailer Number:
<br />By: Date:
<br />Oty.
<br />Kind of Packaging, Description of Articles, Special Marks and Exceptions
<br />Weight pb.)
<br />2
<br />Blohazardous Waste for Autoclaving: S14 Reusable Sharp Containers
<br />UN3291, Regulated Medical Waste, N.O.S., 6.2, PG 11
<br />2
<br />Biohazardous Waste for Autoclaving: S22 Reusable Sharp Containers
<br />UN3291, Regulated Medical Waste, N.O.S., 6.2, PG 11
<br />2
<br />Biohazardous Waste for Autoclaving: S32 Reusable Sharp Containers
<br />UN3291, Regulated Medical Waste, N.O.S., 6.2, PG 11
<br />Biohazardous Waste for Autoclaving: S32 A+ Reusable Sharp Containers
<br />UN3291, Regulated Medical Waste, N.O.S., 6.2, PG II
<br />24
<br />Pharmaceutical products for Incineration :S14PH Reusable Sharp Containers
<br />230
<br />Pharmaceutical products for Incineration : S22PH Reusable Sharp Containers
<br />34
<br />Pharmaceutical products for Incineration : S32PH Reusable Sharp Containers
<br />83
<br />Pharmaceutical products for Incineration : S32PH A+ Reusable Sharp Containers
<br />Pharmaceutical products for Incineration : S64H Reusable Sharp Containers
<br />377
<br />TOTAL
<br />Loose Pieces Pallets said to contain Canons
<br />COD Amount:
<br />COD Fee: Prepaid Collect
<br />Is Customer Check Acceptable for COD?
<br />Yes No Check No.
<br />Freight Charges;
<br />Prepaid Collect
<br />Bill Frei ht Charge to: WM Healthcare Solutions, Inc.
<br />Mailing Address: 5337 Luca Ave Bldg 243G
<br />City. State. Zip: McClellan, CA 95652
<br />This is to certify that the above named materials are properly classified, described, packaged, marked and labeled, and is in proper condition for transportation according to the applicable regulations of
<br />the Department of Transportation. Received subject to classifications and lawfully filed tariffs in effect on the date of issue of this Straight Bill of Lading, the property described above, in apparent good
<br />order, except as noted (contents and condition of the contents of packages unknown), marked, consigned and destined as shown above which said company (the word company being understood
<br />throughout this contract as meaning any person or corporation in possession of the property under the contract) agrees to carry to its usual place of delivery at said destination, it of its own railroad, water
<br />line, highway route or, routes, or within the territory of its highway operations, otherwise to deliver to another carrier on the route to said destination. It is mutually agreed as to each carrier of all or any of
<br />said property, over all or any portion of said route to destination and as to each party at any time interested in all or any of said property, that every service to be performed hereunder shall be subject to all
<br />the Straight Bill of Lading terms and conditions in the governing classification of the date of shipment.Shipper hereby certifies that he is familiar with all the Bill of Lading terms and conditions in the
<br />eovenilno classification and the said terms and conditions are herebv agreed to by the shioner and accented for himself and his ass'ions.
<br />Shipper:
<br />Carrier:
<br />WM Healthcare Solutions, Inc.
<br />WM Healthcare Solutions, Inc.
<br />5337 Luce Avenue, Bldg. 243G
<br />5337 Luce Avenue, Bldg. 243G
<br />McClellan, CA 95652
<br />McClellan, CA 95652
<br />Contact: Derek Rumsey
<br />Contact: Derek Rumsey
<br />Phone: 916-873-9630
<br />Phone: 916-873-9630
<br />TS -98
<br />TS -98
<br />Authorized Signature:
<br />Authorized Signature:
<br />Date:12/6/2013
<br />Date: 12/6/2013
<br />Print Name: Tiffany Lester
<br />Print Name: Bill Cusack
<br />
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