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This is to cerify that the following described commodity was weighed, <br />measured, or counted by a weighmaster, whose signature is on this <br />certificate, who is a recognized authority of accuracy, as prescribed by <br />Chapter 7 (commencing with Section 12700) of Division 5 of the California <br />Business and Professions Code, administered by the Division of Measurement <br />Standards of the California Department of Food and Agriculture. Principle <br />Weigh Master: Central Valley Medical Disposal / Deputy Weigh Master: Walter <br />Brumley, Jr. Address: 4100 E Therese, Fresno, CA 93725 <br />Commodity: Medical Waste / Unit of Measure: Pounds <br />DOCUMENT OF DESTRUCTION .0 1.0 EACH .000 <br />This is to certify that the above described medical waste was treated in JAN 2 4 2005 <br />accordance with the requirements of Federal, State and Local regulations <br />governing the treatment of medical waste. A copy of this certificate, <br />tracking documents, and treatment logs are on file. The above invoice /ACCOWIts payablo <br />number serves as your certifcation of destruction number. <br />D- SM\)K) PLEAsEsIGIV <br />AND GpD� <br />-------- ---------------------------------------------------------------------- <br />WASTE STREAM IN POUNDS SALES TAX .00 <br />Chemo '9. 2, _ P?arm - 243.1 - - -- ------ -- ---- -- - -- - <br />Pathology .0 Sharps .0 TOTAL BILLING 334.87 <br />Red Bag/Bio .0 <br />INVOICE <br />Page No. 1 <br />CALIFORNIA MEDICAL DISPOSAL <br />INVOICE # 103405 <br />P.O. Box 10250 <br />DATE 12/31/04 <br />FRESNO, CA 93745 <br />1-866-288-2634 <br />" <br />SERVICE ADDRESS <br />MEMORIAL HOSP ASSOCIATION <br />Sutter <br />Tracy Hospital <br />ATTN:ACCTS PAYABLE <br />1420 N. Tracy Blvd. <br />P.O. BOX 942 <br />MODESTO, CA 95353 <br />Tracy, <br />CA 95376 <br />CUST A 5234 PO# <br />TERMS <br />Net 30 <br />days <br />------------------------------------------------------------------------------- <br />Description <br />------------------------------------------------------------------------------- <br />TARE WT <br />NET WT/QTY <br />Unit <br />Price Extension: <br />PICK UP DATE 12-16-04 <br />MANIFEST #11006 <br />20 GALLON CHEMO <br />7.0 <br />7.3 <br />LBS <br />.650 4.75 <br />MINIMUM SERVICE FEE <br />.0 <br />1.0 <br />EACH <br />25.000 25.00 <br />Red Bag/Bio waste less than <br />contract amount <br />PICK UP DATE 12-30-04 <br />MANIFEST #11912 <br />20 GALLON CHEMO <br />7.0 <br />1.9 <br />LBS <br />.650 1.24 <br />S14 SHARPSMART PHARM <br />.0 <br />12.0 <br />CNT <br />.000 .00 <br />S22 SHARPSMART PHARM <br />.0 <br />17.0 <br />CNT <br />.000 .00 <br />SHARPSMART PHARM PROCESS <br />16.2 <br />243.1 <br />LBS <br />1.250 303.88 <br />WEIGH MASTER CERTIFICATE <br />.0 <br />1.0 <br />EACH <br />.000 .00 <br />This is to cerify that the following described commodity was weighed, <br />measured, or counted by a weighmaster, whose signature is on this <br />certificate, who is a recognized authority of accuracy, as prescribed by <br />Chapter 7 (commencing with Section 12700) of Division 5 of the California <br />Business and Professions Code, administered by the Division of Measurement <br />Standards of the California Department of Food and Agriculture. Principle <br />Weigh Master: Central Valley Medical Disposal / Deputy Weigh Master: Walter <br />Brumley, Jr. Address: 4100 E Therese, Fresno, CA 93725 <br />Commodity: Medical Waste / Unit of Measure: Pounds <br />DOCUMENT OF DESTRUCTION .0 1.0 EACH .000 <br />This is to certify that the above described medical waste was treated in JAN 2 4 2005 <br />accordance with the requirements of Federal, State and Local regulations <br />governing the treatment of medical waste. A copy of this certificate, <br />tracking documents, and treatment logs are on file. The above invoice /ACCOWIts payablo <br />number serves as your certifcation of destruction number. <br />D- SM\)K) PLEAsEsIGIV <br />AND GpD� <br />-------- ---------------------------------------------------------------------- <br />WASTE STREAM IN POUNDS SALES TAX .00 <br />Chemo '9. 2, _ P?arm - 243.1 - - -- ------ -- ---- -- - -- - <br />Pathology .0 Sharps .0 TOTAL BILLING 334.87 <br />Red Bag/Bio .0 <br />