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COMPLIANCE INFO_2016-2023
EnvironmentalHealth
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4500 - Medical Waste Program
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PR0450024
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COMPLIANCE INFO_2016-2023
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Entry Properties
Last modified
11/8/2024 1:32:54 PM
Creation date
1/26/2023 11:04:56 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2016-2023
RECORD_ID
PR0450024
PE
4524 - SKILLED NURSING FACILITY
FACILITY_ID
FA0002493
FACILITY_NAME
GOLDEN LIVING CENTER HY-PANA
STREET_NUMBER
4545
STREET_NAME
SHELLEY
STREET_TYPE
CT
City
STOCKTON
Zip
95207
APN
10425005
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
Site Address
4545 SHELLEY CT STOCKTON 95207
Tags
EHD - Public
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0 <br />Stericycle <br />WFG LLC - DTH STOCKTON <br />C/O OSER <br />PO BOX 967 <br />GULF BREEZE, FL 32562 <br />u <br />PAGE: 1 of 2 <br />INVOICE INVOICE DATE 06/30/2019 <br />INVOICE NUMBER 3004755157 <br />CUSTOMER NUMBER 6156204 <br />Site & Purchase Order Info on Reverse Page <br />For billing, scheduling or customer service: <br />(866) 783-7422 <br />■ Hours: (Mon - Fri) 8:00 AM - 5:00 PM <br />CustomerCare@Stericycle.com <br />ACCOUNT SUMMARY <br />DESCRIPTION <br />PREVIOUS BALANCE <br />CURRENT ADJUSTMENTS <br />CURRENT INVOICE CHARGES <br />TOTAL ACCOUNT BALANCE DUE BY 07/30/2019 <br />DATE AMOUNT <br />(See Reverse Page For Details) <br />TOTAL <br />$235.85 <br />$0.00 <br />$191.52 <br />$427.37 <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 WI, this invoice also serves as a <br />certification of destruction. <br />Account History Please disregard if payment has been sent. <br />I INVOICE DATE <br />0613012019 <br />1 - 30 days <br />31 - 60 days <br />61 - 90 days <br />90+ days <br />Total Account <br />Current <br />Past Due <br />Past Due I <br />Past Due <br />Past Due <br />Balance <br />$191.52 <br />$235.85 <br />$0.00 <br />$0.00 <br />$0.00 <br />$427.37 <br />PLEASE DETACH AND RETURN BOTTOM PORTION WITH YOUR PAYMENT IN THE ENCLOSED ENVELOPE. TO ENSURE TIMELY POSTING OF YOUR PAYMENT, PLEASE ALLOW 5 DAYS FOR MAILING. <br />4� Stericycle <br />• Stericycle, Inc. <br />4010 Commercial Ave. <br />Northbrook IL 60062 <br />To update your account information and more visit MyStericycle.com <br />INVOICE NUMBER <br />3004755157 <br />I INVOICE DATE <br />0613012019 <br />CUSTOMER NUMBER <br />6156204 <br />TOTAL ACCOUNT BALANCE DUE BY 0 713 0/2 01 9 <br />$427.37 <br />TOTAL AMOUNT ENCLOSED <br />$ <br />To pay your invoice with an electronic payment method please visit <br />www.MyStericycle.com or call 866-783-7422. <br />0006156204 3004755157 0000019152 3 030008 <br />ADDRESSEE: ______________ ______________= REMIT TO: <br />WFG LLC - DTH STOCKTON STERICYCLE, INC. <br />C/O OSER P.O. BOX 6578 <br />PO BOX 967 CAROL STREAM, IL 60197-6578 <br />GULF BREEZE, FL 32562 <br />
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