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COMPLIANCE INFO_2007-2011
Environmental Health - Public
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EHD Program Facility Records by Street Name
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H
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HAMMER
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2505
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4500 - Medical Waste Program
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PR0526860
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COMPLIANCE INFO_2007-2011
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Last modified
2/7/2023 11:38:42 AM
Creation date
7/3/2020 10:16:44 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
2007-2011
RECORD_ID
PR0526860
PE
4520
FACILITY_ID
FA0018191
FACILITY_NAME
SUTTER GOULD
STREET_NUMBER
2505
Direction
W
STREET_NAME
HAMMER
STREET_TYPE
LN
City
STOCKTON
Zip
95209-2839
APN
08227003
CURRENT_STATUS
01
SITE_LOCATION
2505 W HAMMER LN
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4520_PR0526860_2505 W HAMMER_.tif
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EHD - Public
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e <br />Stericycle, Inc. <br />INVOICE NUMBER <br />as <br />00- SterEiilryde s <br />P.O. Box 9001589 <br />Louisville, KY 40290-1589- <br />6070300 <br />PREVIOUS BALANCE <br />$179.27 <br />Experts in Infection Control and Healthcare Compliance Services <br />m v� <br />a <br />($1791;27 <br />0101 SUTTER GOULD MED FOUNDTN <br />$229.40 <br />FOR CUSTOMER SERVICE <br />866-STERi-CALL. <br />ENGINEERING <br />BY 12/30/2006 <br />$229.40 <br />600 COFFEE ROAD <br />783-7422 <br />MODESTO, CA 95355-4276 <br />MASTERCARD DISCOVER <br />FOR PICK-UP INFORMATION <br />CODE <br />800 -MED -WASTE <br />633-9278 <br />PAGE: 1 of 2 <br />INVOICE DATE <br />11/30/2006 <br />INVOICE NUMBER <br />0003825458 <br />CUSTOMER NUMBER <br />6070300 <br />PREVIOUS BALANCE <br />$179.27 <br />TOTAL ADJUSTMENTS <br />($1791;27 <br />TOTAL NEW -CHARGES <br />$229.40 <br />TOTAL BALANCE DUE <br />BY 12/30/2006 <br />$229.40 <br />- 31111_117d)-1VM!an9 vnnn — 612610A <br />WEIGHMASTER CERTIFICATE: This is to certify that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature <br />is on this certificate, and who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with Section 12700) of Division 5 of the <br />California Business and Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. <br />CERTIFICATION: The material listed on the manifest #(s) details below (infectious medical waste) has been treated in accordance with the requirements of federe!, state, and local <br />regulations governing the treatment of such waste. A copy of this certificate, applicable manifests, and the appropriate logs will remain on file with the company. <br />ACCOUNT SUMMARY <br />DESCRIPTION DATE AMOUNT <br />PREVIOUS BALANCE $17.9.27 ... <br />CURRENT ADJUSTMENTS ($179.27) <br />NEW CHARGES (SEE REVERSE SIDE FOR DETAILS) <br />TOTAL BALANCE DUE BY 12/30/2006 <br />• <br />00 <br />TOTAL BALANCE DUE BY 12/30/2006 <br />$ <br />Stericycle <br />® <br />Stericycle, Inc. <br />P.O. Box 9001589 <br />INVOICE NUMBER <br />Louisville, KY 40290-1589 <br />Payment -Ref #827422 11/16/2006 ($26.25) <br />Payment -Ref #828976 12/02/2006 ($153.,.02) <br />$229.40 <br />$229.40 <br />J51 2 , coo <br />DEC 18 1006 <br />PLEASE DETACH AND RETURN BOTTOM PORTION WITH YOUR PAYMENT IN THE ENCLOSED ENVELOPE <br />I—I If account information has changed please check <br />LJ box and fill out back portion of coupon <br />AMOUNT ENCLOSED <br />TOTAL BALANCE DUE BY 12/30/2006 <br />$ <br />$229.40 <br />CUSTOMER NUMBER <br />INVOICE DATE <br />INVOICE NUMBER <br />6070300 <br />11/30/2006 <br />I 0003825458 <br />nsA' xaz <br />CHECK CARD USING FOR PAYMENT <br />SECURITY <br />MASTERCARD DISCOVER <br />VISA AMERICAN EXP. <br />CODE <br />CARD NUMBER. <br />EXP. DATE <br />SIGNATURE <br />PRINTED NAME <br />0006070300 0003825458 0000022940 3 030006 <br />ADDRESSEE: <br />I I I f I I I I I II I I I I I I I I I I I I I I I I I I II I I I I I I I I I I I 11111IIIIIIIILI <br />SUTTER GOULD MED FOUNDTN <br />ENGINEERING <br />600 COFFEE ROAD <br />MODESTO, CA 953554276 <br />111,1.{{III{I{IIIllllilll{IIIIIIIIIIIIII�IIIIIIIIIII{III <br />• <br />1111,IIItII11I1111I111I1111111I111I1I1111I1I11I11Il I1I111I111) <br />STERICYCLE, INC. <br />P.O. BOX 9001589 <br />LOUISVILLE, KY 40290-1589 <br />►�J <br />
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