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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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HAMMER
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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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erlCyCle, Inc. <br />' Al <br />NAVt: 1 Ot ti <br />[c ycle .O. Box 9001589 <br />Louisville, KY 40290-1589 <br />INVOICE DATE <br />04/30/2007 <br />CHECK CARD USING FOR PAYMENT <br />INVOICE NUMBER <br />0004009872 <br />Louisville, KY 40290-1589 <br />CUSTOMER NUMBER <br />6076382 <br />Expert: in Infection Control and Healthcare Compliance Services <br />Billing & Payment Information: <br />INA <br />PREVIOUS BALANCE <br />$3,171.73 <br />(877) 245-5360, Option 1 <br />TOTAL ADJUSTMENTS <br />$0.00 <br />0404 SUTTER GOULD MED FOUNDTN =J ? Schedule & Pickup Information: <br />TOTAL NEW CHARGES <br />$3,356.40 <br />ENGINEERING (877) 245-5360, Option 2 <br />TOTAL BALANCE DUE <br />600 COFFEE ROAD <br />MODESTO, CA 95355-4276 For Customer Service: <br />(866) STERICALL <br />BY 05/30/2007 <br />$6,528.13 <br />612610E <br />(866) 783-7422 <br />31111-U742"T2Y1OX2GG000015 <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 federal, 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 <br />$3,171.73 <br />CURRENT ADJUSTMENTS <br />$0.00 <br />NEW CHARGES (SEE REVERSE SIDE FOR DETAILS) <br />$3,356.40 <br />TOTAL BALANCE DUE BY 05/30/2007 <br />00 <br />TOTAL BALANCE DUE BY 05/30/2007 <br />$6,528.13 <br />90 <br />Stericycle <br />00 <br />Stericycle, Inc. <br />CHECK CARD USING FOR PAYMENT <br />P.O. Box 9001589 <br />Louisville, KY 40290-1589 <br />$6,528.13 <br />PLEASE DETACH AND RETURN BnTTOM PORTION WITH YOUP PAYMENT IN THE ENCLOSED ENVELOPE <br />1—I If account information has changed please check <br />" box and fill out back portion of coupon <br />AMOUNT ENCLOSED <br />$ <br />TOTAL BALANCE DUE BY 05/30/2007 <br />$6,528.13 <br />CUSTOMER NUMBER <br />6076382 <br />INVOICE DATE <br />04/30/2007 <br />INVOICE NUMBER <br />0004009872 <br />��. EFIOW <br />❑ ❑ ❑ Ess <br />MASTERCARD DISCOVER VISA AMERICAN EXP. <br />CHECK CARD USING FOR PAYMENT <br />SECURITY <br />CODE <br />CARD NUMBER <br />EXP. DATE <br />SIGNATURE <br />PRINTED NAME <br />0006076382 0004009872 0000335640 3 030003 <br />ADDRESSEE: <br />Illllllllllllll�IIIIIIIIIIIIIIIII " IIIIIII11111tt��lllt�ll <br />SUTTER GOULD MED FOUNDTN <br />ENGINEERING <br />600 COFFEE ROAD <br />MODESTO, CA 95355-4276 <br />111111..IllllllIII lIll. Ill. LII1.1.L.I IIIIL.11.L.1.111.111 <br />REMIT TO: <br />II�IIII)IIIIIII�IIIII�I11111111t11�lltllllllllllllllllllllllll <br />STERICYCLE, INC. <br />P.O. BOX 9001589 <br />LOUISVILLE, KY 40290-1589 <br />111111111111 IN I I I l l l l l Hill IN l l 11111111111111111 1111111111111111111111111111111111111 <br />
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