My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO_1984-2005
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
E
>
EASTWOOD
>
410
>
4500 - Medical Waste Program
>
PR0450026
>
COMPLIANCE INFO_1984-2005
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
2/1/2023 11:08:30 AM
Creation date
7/3/2020 10:19:16 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
1984-2005
RECORD_ID
PR0450026
PE
4524
FACILITY_ID
FA0001190
FACILITY_NAME
MANTECA CARE & REHABILITATION CTR
STREET_NUMBER
410
STREET_NAME
EASTWOOD
STREET_TYPE
AVE
City
MANTECA
Zip
95336
APN
21632009
CURRENT_STATUS
01
SITE_LOCATION
410 EASTWOOD AVE
P_LOCATION
04
P_DISTRICT
003
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4524_PR0450026_410 EASTWOOD_.tif
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
181
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
Page: 1 of i <br /> eca Care & Rehab <br /> Experts in Infection Control and Healthcare Compliance Services <br /> Accounts Payable <br /> 9188 Glenoaks Blvd,Suite 300 410 Eastwood Ave <br /> Sun Valley CA 91352Q � Manteca CA 95336-3167 <br /> VOICE DATE INVOICE NUMBER CUSTOMER NUMBER TERMS <br /> 14/01/2004 0002711664 6059477 Net 30 Days <br /> FACILITY n ffil( A- <br /> MDESCRIRTCON WEIGHT (LBj P1ifCE i11M TQ.TAL <br /> INVOICE# FX�7 <br /> DEPT ACCT Ah40W.' 36-3167 <br /> cribed commodity was weighed,measured or counted by a weighmaster,whose signature is on this certificate, <br /> (commencing with Section 12700)of Division 5 of the California Business and Professions Code, <br /> nia Department of Food and Agriculture. <br /> Ave,Fresno,CA 93722 Terry Shain Deputy Weighmaster <br /> Tub Bio , CT 12.7 lb 24.900.000 EA 0.00 <br /> Safe Standard-Monthly 0.00 825.000 EA 825.00 <br /> TOTAL « SITE-SUBTOTAL-AMT: $825.00 <br /> APPROVAL SITE-TOTAL-TAX: $0.00 <br /> i SITE-TOTAL-AMT: $825.00 <br /> Currerf 1 3;):Days 3:#�60 Daya S1 9b:Days t�ver.90 Days <br /> 1 6,50.001 1,475 39 1 0.00 0.00 0.00 INVOICE TOTAL: $825.00 <br /> MESSACaE;GENTER <br /> THANK YOU FOR KEEPING YOUR ACCOUNT CURRENT. <br /> CERTIFICATION: THE MATERIAL LISTED ON THE MANIFEST #'(S) DETAILED ABOVE (INFECTIOUS MEDICAL WASTE) HAS BEEN TREATED IN ACCORDANCE <br /> WITH THE REQUIREMENTS OF FEDERAL, STATE, AND LOCAL REGULATIONS GOVERNING THE TREATMENT OF SUCH WASTE. A COPY OF THIS <br /> CERTIFICATE,APPLICABLE MANIFESTS,AND THE APPROPRIATE LOGS WILL REMAIN ON FILE WITH THE COMPANY. <br /> STE073 STE001 STE00102-RTP 00000]55 i 00000770 DETACH AT PERFORATION AND RETURN BOTTOM PORTION WITH YOUR PAYMENT <br /> - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - <br /> ❑ American Express ❑ VISA ❑ MasterCard ❑ Discover <br /> eStencde <br /> cP� � <br /> go Experts in Infec ton Control and Healthcare Compliance Services Credit Card Account Number Expiration Date <br /> 9188 Glenoaks Blvd,Suite 300 Signature <br /> Sun Valley CA 91352 <br /> 0006059477 0002711664 0000082500 3 030006 <br /> REMITTANCE Please write Amount Paid below <br /> Ileloeelelnellnefleel�nu'I,uellelleelnelnil"In�oller' PLEASE STERICYCLE INC <br /> Manteca Care & Rehab SEND PO BOX 79145 <br /> Accounts Payable PAYMENT <br /> 410 Eastwood Ave To PHOENIX AZ 85062-9145 <br /> Manteca CA 95336-3167 �I,el,olcl®"reee�l®ne'o'lelnne'le'nlAle'n'nle'ele®BII'f <br /> 00000155 36 E53fl <br /> Invoice Customer Date: Invoice Amount <br /> Number: 0002711664 Number: 6059477 04/01/2004 Amount: $825.00 Paid: $ <br />
The URL can be used to link to this page
Your browser does not support the video tag.