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This is to certify that the above described medical waste was treated in <br />PLR'IGN <br />AND CODZ <br />INVOICE, <br />�a - <br />Page No. 1 <br />INVOICE # 104097 <br />CALIFORNIA MEDICAL DISPOSAL r- <br />P.O. Box 10250 <br />DATE 02/28/05 <br />FRESNO, CA 93745 <br />MAR 2 i <br />1-866-288-2634 <br />cCOuntS P8s_,,v <br />1 <br />SERVICE ADDRESS <br />MemorialI�ospital Assoc <br />Sutter Tracy Eaton Ave <br />P.O. Box 9421 <br />445 West Eaton Ave <br />Att.: Accounts Payable <br />Modesto, CA 95353 <br />Tracy, <br />CA 95376 <br />CUST.# 5.509 PO# <br />TERMS <br />Net 30 <br />days <br />--------------------- <br />Description <br />TARE WT NET WT/QTY <br />Unit <br />----_Price-- <br />Extension <br />PICK UP DATE 02-03-05 <br />MANIFEST #14223 <br />44 GALLON RED BAGBIO15.4 <br />11.5 <br />LBS <br />.2015 2.36 <br />44 GALLON RED BAG BIO <br />15.4 17.3 <br />LBS <br />.205 3.55 <br />44 GALLON RED BAG BIO <br />15'.4 12+.5 <br />LBS <br />.2015 <br />2.56 <br />PICK UP DATE 02-10-05 <br />MANIFEST #14699 <br />-44 GALLON RED BAG BIO <br />15.4 14.5 <br />LBS <br />•.205 2.97 <br />44 GALLON RED BAG BIO <br />15.4 21.1 <br />LBS <br />.205 4.33' <br />44'GALLON RED BAG BIO <br />15.4 9.0 <br />LBS. <br />.2015 1.85 <br />PICK 'UP DATE 02-17-05 <br />MANIFEST #15172 <br />44 GALLON RED BAG BIO <br />15.4 4.4 <br />LBS <br />.205 .90 <br />44 GALLON RED BAG BIO <br />15.4 20.9 <br />LBS <br />.205 4.28 <br />44 GALLON RED BAG BTO <br />15.4 11.5 <br />LBS <br />.205 2.36 <br />4.4 GALLON RED BAG BIO <br />15.4 15..1 <br />LBS <br />.205 3.10 <br />PICK UP DATE 02-24-05 <br />MANIFEST #15620 <br />44 GALLON RED BAG BIO <br />15.4 6.7 <br />LBS <br />.205 1.37 <br />44 GALLON RED BAG BIO <br />15.4 6.1 <br />LBS <br />.2Q5 <br />1.25 <br />••44 GALLON RED BAG BIO <br />15.4 7.5 <br />LBS <br />.205 1.54 <br />MINIMUM SERVICE FEE <br />.0 4.0 <br />EACH <br />25.000 100.00 <br />Red Bag/Bio waste less <br />than contract amount <br />WEIGH MASTER CERTIFICATE <br />.0 1.0 <br />EACH <br />.000 .00 <br />This is to cerify that the <br />following described commodity was weighed, <br />measured, or counted by.a weighmaster, whose signature is <br />on this <br />certificate, who is a recognized authority of accuracy, as prescribed by <br />Chapter 7 (commencing with <br />Section 12700) of Division 5 of the California <br />Business and Professions Code, administered by the <br />Division of Measurement <br />Standards of the California <br />Department of Food and <br />Agriculture. Principle <br />Weigh Master: .Central Valley Medical Disposal / Deputy Weigh Master: Walter <br />Brumley, Jr. Address: 4100 <br />E Therese, Fresno, CA 93725 <br />Commodity: Medical Waste / <br />Unit of Measure: Pounds <br />DOCUMENT OF DESTRUCTION .0 1.0 <br />EACH <br />.000 .00 <br />This is to certify that the above described medical waste was treated in <br />PLR'IGN <br />AND CODZ <br />