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0 10 <br />STRAIGHT BILL OF r, fi Medical Document <br />Date: 1/16/2014 <br />PO#:2949-00-011614-1 <br />Shipment: WMHS Sae Bio 2014-04 <br />Page <br />1 of 1 <br />Shipped From: <br />Shipped To: <br />Waste Management Healthcare Solutions, Inc. <br />HealthWise Service LLC <br />5337 Luce Avenue, Bldg. 243G <br />4800 E. Lincoln Ave <br />McClellan, CA 95652 <br />Fowler, Ca 93625 <br />Contact: Derek Rumsey <br />855-246-9473 <br />Phone: 916-873-9630 <br />Danny Lisenko <br />TS -98 <br />Permit # TS -89 <br />Waste Received: 1 /14-1/15/14 <br />Received by: ealthWise Service LLC. <br />Waste Shipped: 1/16/14 <br />Trailer: <br />For: Trea y Autoclave, and disposal <br />y: Date: <br />Qty. <br />Kind of Packaging, Description of Articles, Special Mar d Exc ions <br />Weigh (ib.) <br />28 <br />Biohazardous Waste for Autoclaving: 31 gallon, Tubs & Sharps Containers <br />687.10 <br />UN3291, Regulated Medical Waste, n.o.s., 6.2, PG 11 <br />147 <br />Biohazardous Waste for Autoclaving: 43 gallon, Tubs & Sharps Containers <br />3619.70 <br />UN3291, Regulated Medical Waste, n.o.., 6.2, PG 11 <br />175 <br />TOTAL <br />4306.8 <br />Loose Pieces Pallets said to contain <br />Cartons <br />COD Amount: <br />COD Fee: Prepaid Collect <br />Freight Charges: <br />Prepaid <br />Bill Freight Charge to: WM Healthcare Solutions, Inc. <br />Mailing Address: 5337 Luce Ave Bldg 243G <br />I Is Customer Check Acceptable for COD? <br />Yes No Check No. <br />Collect <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 are 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, if on its own railroad, <br />water 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 <br />any of 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 <br />subject to an the Stfaignt Cul or Lading terms and conditions in the <br />ciassiticatton or the date of <br />cemties trial ne is tammar win all the bill or Lacing terms and <br />Shipper: WM Healthcare Solutions, Inc. Shipper: WM Healthcare Solutions, Inc. <br />5337 Luce Avenue, Bldg. 243G 5337 Luce Avenue, Bldg. 2436 <br />McClellan, CA 95652 McClellan, CA 95652 <br />Contact: Derek Rumsey Contact: Derek Rumsey <br />Phone: 916-873-9630 TS -98 Phone: 916-873-9630 <br />Authorized Signature: Authorized Signature: <br />Date:1 /16/14 Date:1 /16/14 <br />Print Name: Tiffany Lester Print Name: Kyle Mc olloi <br />