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EHD Program Facility Records by Street Name
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4500 - Medical Waste Program
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PR0536170
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COMPLIANCE INFO
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Last modified
2/9/2023 2:27:35 PM
Creation date
7/3/2020 10:19:54 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0536170
PE
4524
FACILITY_ID
FA0010957
FACILITY_NAME
HAMPTON CARE CENTER
STREET_NUMBER
442
Direction
E
STREET_NAME
HAMPTON
STREET_TYPE
ST
City
STOCKTON
Zip
95204
APN
12538032
CURRENT_STATUS
02
SITE_LOCATION
442 E HAMPTON ST
P_LOCATION
01
P_DISTRICT
002
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4524_PR0536170_442 E HAMPTON_.tif
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EHD - Public
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® STERICYCLE, INC. _ y" <br />P.O. BOX 9001589 INVOICE:. E 04%30/2pp5 <br />GCO.'00 Steric cle' UISVILLE, KY 40290-1589 INVOICE NUMBER 30004.68072 <br />• Protecting People. Reducing Risk: 10- <br />,CUSTOMER NUMBER 6080852 <br />Billing & Payment Information: <br />(877) 245-5360, Option 1 PREVIOUS BALANCE $1,423:07 <br />TOTAL ADJUSTMENTS ($710 51) <br />HAMPTON CARE CENTER Schedule & Pickup Information: TOTAL NEW CHARGES:$711..99. <br />ACCOUNTS PAYABLE (877) 245-5360, Option 2 <br />442 E. HAMPTON ST TOTAL BALANCE <br />STOCKTON, CA 95204 For Customer Service: <br />970 (866) STERICALL DUE -BY 05130/2009 $1,424.55 <br />�JJ (866)783-7422 <br />MAY 1 8 2009 <br />WEIGHMASTER CERTIFICATE: THIS IS TO CERTIFY that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature is on this <br />certificate, and who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with Section 12700) of Division 5 of the California Business and Professions Code, <br />administered by the Division of MeasuremenLStandards-of4he-Cafiflsfrua Department of Food and Agriculture. <br />CERTIFICATION: The material listed on the manifest(s) (infectious medical waste) has been treated in accordance with the requirements of federal, state, and local regulations governing the <br />treatment of such waste. A copy of this certificate, applicable manifests, and the appropriate logs will remain on file with the company. For customers in AZ, MO, NM, NY, PA, PR, and W i, this <br />Invoice also serves as a certification of destruction. <br />ACCOUNT SUMMARY <br />DESCRIPTION DATE AMOUNT TOTAL <br />PREVIOUS BALANCE 1 $1,423.07 <br />CURRENT ADJUSTMEI ($710.51) <br />I ACCOUNTS PAYASL:E <br />100 04/14/2009 ($710.51) <br />NEW CHARGES (SEE _ C IR C PRICES AND `QU TIT s op $711.99 <br />TOTAL BALANCE DUE ` $1,424.55 <br />1 DEP RTM.-NT D. -AYE <br />i _ l <br />A PROV AYMENT• <br />i. <br />XDIIINISTRAT08t: <br />FOR,ACCOUNTING USE'ONLY <br />VENDOR. KUMBE'R /2flO'"®�F <br />ACCOUNTING DATE <br />AOUNT <br />_...,IN BOTTOM PORTION WITH YOUR PAYMENT IN THE ENCLOSED ENVELOPE <br />• <br />TOTAL BALANCE DUE BY 05130/2009 <br />$1,424.55 <br />Coe <br />ric Cl ® <br />• <br />Stericycle, Inc. <br />SECU <br />CODEE <br />28161 N. Keith Drive <br />CARD NUMBER <br />Lake Forest, IL 60045 <br />If account information has changed please check <br />i� box and fill out back portion of coupon <br />AMOUNT ENCLOSED <br />$ <br />TOTAL BALANCE DUE BY 05130/2009 <br />$1,424.55 <br />CUSTOMER NUMBER <br />6080852 <br />INVOICE DATE <br />04/30/2009 <br />INVOICE NUMBER <br />3000468073 <br />p AMERICAN <br />WS E7CPRE55 <br />SECU <br />CODEE <br />CARD NUMBER <br />EXP DATE <br />I <br />SIGNATURE <br />PRINTED NAME <br />0006080852 3000468073 0000071199 3 030004 <br />ADDRESSEE: <br />I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I I a I I I I I I I I I I I I I I I I I I I I I I I <br />Ref* 127STUBG004883 - 2 <br />HAMPTON CARE CENTER <br />ACCOUNTS PAYABLE <br />442 E. HAMPTON ST <br />STOCKTON, CA 95204 <br />REMIT TO: <br />IIII/III111/1ItI IIIIIIIIIIIIIII0I0IIIIIIIIBIt1I1➢IIIIIIIIIIIII <br />STERICYCLE, INC. <br />P.O. BOX 9001589 <br />LOUISVILLE, KY 40290-1589 <br />West Territory <br />NSE <br />3nnlRRRnaR <br />
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