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.WEIGH MASTER CERTIFICATE .0 1.0 EACH 060 .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 .00 <br />This is to certify that the above described medical waste was treated in <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 ori file. The above invoice <br />number serves as your certifcation of destruction number. <br />------------------------------- <br />WASTE STREAMSALES TAX .- IN POUNDS .00 <br />Chemo .0 Pharm •0 <br />Pathology 23.6 Sharps .0 TOTAL BILLING 47.44 <br />Red Bag/Bio 34.6 <br />4 <br />INVOICE - <br />Page No. 1 <br />CALIFORNIA MEDICAL DISPOSAL <br />INVOICE # 104096 <br />02/28/05 <br />P.O. Box 10250 <br />DATE <br />FRESNO, CA 93745 <br />1-866-288-2634" <br />, <br />hfAR <br />SERVICE ADDRESS <br />Memorial Hospital Assoc <br />2 <br />Sutter Tracy Com Hosp Lab <br />P:O. Box 9421 <br />1420 N. Tracy Blvd <br />Accounts <br />Att: Accounts Payable <br />t., <br />Tracy, <br />CA 95376 <br />Modesto,'CA 95353 <br />rte. <br />CUST.# 5508 PO# <br />TERMS <br />Net 30 <br />days <br />--------------------------- <br />Description <br />TARE WT NET <br />WT/QTY <br />Unit <br />Price Extension <br />PICK UP DATE 02-17-05 <br />MANIFEST #15171 <br />44 GALLON RED BAG,BIO <br />15.4 <br />15.7 <br />LBS <br />.205 3.22 <br />44 GALLON RED BAG BIO <br />15.4 <br />18.9 <br />LBS <br />.205 3.87 <br />20 GALLON PATHOLOGICAL <br />1.0 <br />10.5 <br />LBS <br />.6 <br />0 6.83 . <br />20 GALLON PATHOLOGICAL <br />7.0 <br />13.1 <br />LBS <br />.6 <br />0 8.52 <br />MINIMUM SERVICE FEE <br />.0 <br />1.0 <br />EACH <br />25.0 0 25.00 <br />Red Bag/Bio waste less than contract amount <br />.WEIGH MASTER CERTIFICATE .0 1.0 EACH 060 .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 .00 <br />This is to certify that the above described medical waste was treated in <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 ori file. The above invoice <br />number serves as your certifcation of destruction number. <br />------------------------------- <br />WASTE STREAMSALES TAX .- IN POUNDS .00 <br />Chemo .0 Pharm •0 <br />Pathology 23.6 Sharps .0 TOTAL BILLING 47.44 <br />Red Bag/Bio 34.6 <br />