COMPLIANCE INFO_1983-2005 - Laserfiche WebLink

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This is to cerify that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with Section 12700) of Division 5 of the California Business and Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. Principle Weigh Master:. Central Valley Medical Disposal / Deputy Weigh Master: Walter Brumley, Jr. Address: 4100 E Therese, Fresno, CA 93725 Commodity: Medical Waste / Unit of Measure: Pounds DOCUMENT OF DESTRUCTION .0 1.0 EACH .000 .00 This is to certify that the above described medical waste was treated in accordance with the requirements of Federal, State and Local regulations governing the treatment of medical waste. A copy of this certificate, tracking documents, and treatment logs are on file. The above invoice number serves as your certifcation of destruction number. pLEr,�urCN �— AND CODE ----------------------------- WASTE STREAM - IN POUNDS -SALES TAX .00 Chemo 0 Pharm •0 Pathology .0 Sharps .0 TOTAL BILLING 53.84 Red Bag/Bio 18.7 n a INVOICE Page No. 1 CALIFORNIA MEDICAL DISPOSAL INVOICE # 104098 02/28/05 P.O. Box 10250DATE Ids ,. FRESNO, CA 93745 1-866-288-264 MAR 2 1 2009 SERVICE ADDRESS Memorial Hosp Assoc Sutter Tracy Diag Accounts FayaDM30 North Bessie Imaging Ave P.O. Box 942 Suite 108-109 Att: Accounts Payable Tracy, CA 95376 Modesto, CA 95353. CUST.# 5510 PO# TERMS Net 30 days ------------------------------------------------ Description TARE WT NET WT/QTY Unit ------------------- Price Extension ----------------------------------------------------------- PICK UP DATE 02-17-05 MANIFEST #15173 20 GALLON RED BAG BIO 7.0 7.LBS .205 1.46 20 GALLON RED BAG BIO 7.0 8.44 LBS 205 1.72 PICK UP DATE 02-24-05. MANIFEST #15621 20 GALLON RED BAG BIO 7.0 3.2 LBS .205 .66 MINIMUM SERVICE FEE .0 2.0 EACH 25.000. 50.00 Red Bag/Bio waste less than contract amount WEIGH MASTER CERTIFICATE .0 1.0 EACH .000 .00 This is to cerify that the following described commodity was weighed, measured, or counted by a weighmaster, whose signature is on this certificate, who is a recognized authority of accuracy, as prescribed by Chapter 7 (commencing with Section 12700) of Division 5 of the California Business and Professions Code, administered by the Division of Measurement Standards of the California Department of Food and Agriculture. Principle Weigh Master:. Central Valley Medical Disposal / Deputy Weigh Master: Walter Brumley, Jr. Address: 4100 E Therese, Fresno, CA 93725 Commodity: Medical Waste / Unit of Measure: Pounds DOCUMENT OF DESTRUCTION .0 1.0 EACH .000 .00 This is to certify that the above described medical waste was treated in accordance with the requirements of Federal, State and Local regulations governing the treatment of medical waste. A copy of this certificate, tracking documents, and treatment logs are on file. The above invoice number serves as your certifcation of destruction number. pLEr,�urCN �— AND CODE ----------------------------- WASTE STREAM - IN POUNDS -SALES TAX .00 Chemo 0 Pharm •0 Pathology .0 Sharps .0 TOTAL BILLING 53.84 Red Bag/Bio 18.7 n