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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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• <br />0 PAGE: 1 of 2 <br />1 - 30 days <br />INVOICE DATE 11/30/2019 <br />INVOICE <br />Stericytte <br />INVOICE NUMBER 3004928278 <br />CUSTOMER NUMBER 6156204 <br />Past Due <br />Site & Purchase Order Info on Reverse Page <br />STOCKTON NURSING AND REHAB <br />4545 SHELLEY CT <br />For billing, scheduling or customer service: <br />STOCKTON, CA 95207-7232 <br />(866) 783-7422 <br />$243.83 $620.78 <br />■ Hours: (Mon - Fri) 8:00 AM - 5:00 PM <br />CustomerCare@Stericycle.com <br />ACCOUNT SUMMARY <br />DESCRIPTION DATE AMOUNT TOTAL <br />PREVIOUS BALANCE $1,316.29 <br />CURRENT ADJUSTMENTS $0.00 <br />CURRENT INVOICE CHARGES (See Reverse Page For Details) $140.70 <br />TOTAL ACCOUNT BALANCE DUE UPON RECEIPT $1,456.99 <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 />Current <br />1 - 30 days <br />31 - 60 days <br />61 - 90 days 90+ days <br />Total Account <br />Past Due <br />Past Due <br />Past Due Past Due <br />Balance <br />$140.70 <br />$251.31 <br />$200.37 <br />$243.83 $620.78 <br />$1,456.99 <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 />aarraa00aSamoan aaaa*era as 00Owasso 0a05*eraa•aaawoman 0000Samoa 0SSasgames 2a00*WONS2a00Owasso 0aaaBass a0aawas aaa0aSamoa <br />Stericycle, Inc. <br />4010 Commercial Ave. <br />Nnrthhmnk_ IL 6(lw <br />To update your account information and more visit MyStericycle.com <br />INVOICE NUMBER <br />3004928278 <br />I INVOICE DATE <br />11/30/2019 <br />CUSTOMER NUMBER <br />6156204 <br />TOTAL ACCOUNT BALANCE DUE UPON RECEIPT <br />$1,456.99 <br />TOTAL AMOUNT ENCLOSED <br />$ <br />To pay your invoice with an electronic payment method please visit <br />www.MyStericycle.com or call 866-783-7422. <br />0006156204 3004928278 0000014070 3 030004 <br />ADDRESSEE: ______________ ______________= REMIT TO: <br />STOCKTON NURSING AND REHAB STERICYCLE, INC. <br />4545 SHELLEY CT P.O. BOX 6578 <br />STOCKTON, CA 95207-7232 CAROL STREAM, IL 60197-6578 <br />
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