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COMPLIANCE INFO_1983-2005
Environmental Health - Public
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EHD Program Facility Records by Street Name
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4500 - Medical Waste Program
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PR0450005
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COMPLIANCE INFO_1983-2005
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Last modified
1/20/2023 2:39:39 PM
Creation date
7/3/2020 10:17:44 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
4500 - Medical Waste Program
File Section
COMPLIANCE INFO
FileName_PostFix
1983-2005
RECORD_ID
PR0450005
PE
4522
FACILITY_ID
FA0000086
FACILITY_NAME
San Joaquin General Hospital
STREET_NUMBER
500
Direction
W
STREET_NAME
HOSPITAL
STREET_TYPE
Rd
City
French Camp
Zip
95231
CURRENT_STATUS
01
SITE_LOCATION
500 W Hospital Rd
P_LOCATION
99
P_DISTRICT
001
QC Status
Approved
Scanner
SJGOV\cfield
Supplemental fields
FilePath
\MIGRATIONS\MW\MW_4522_PR0450005_500 W HOSPITAL_1983-2005.tif
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EHD - Public
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^ ' <br />' <br />=' ~~ <br />' . . <br />= ` IN�OIC� <br />. <br />- ~ page No. <br />l <br />~~~^���� ��� ����� RECE�" INVOICE # I04 <br />097 P.O. Box 10260 DATE 02/28/05 <br />FRESNO, CA 93746 MAR � � <br />�L-O66-288-26]4 � <br />This is tocezify that the following described commodity was weighed, <br />measured,or counted by,a weigbmaater, whose,signature is on this ` <br />certificate, who is a recognized authority of accuracy, as prescribed by <br />Chapter (commencing with Section 12700) of Division 5 of the California <br />` <br />Business' '~~ Professions � Code, administered by the Division of Measurement <br />Staodarda~of the California Department of Food and Agriculture. Principle <br />Weigh Master: Central Valley Medical o� � di l Di oaal / Deputy Weigh Master: Walter <br />Brumley, Jr. Address: 4100 O Therese, Fresno, CA 93725 <br />Commodity: Medical Waste / Unit of Measure: Pounds ` <br />. <br />DOCUMENT OF DESTRUCTION ,O 1.0 EACH .00O .00 <br />This is to certify that the above described medical waste was treated in <br />AND CG,6� <br />pay=,Sutter <br />SERVICE ADDRESS <br />Memorial ---^i�al �aoc <br />'�~~-- <br />Tracy Eaton <br />Ave e <br />,---' <br />- P -O' Box 943' ' <br />445 West <br />Eaton Ave <br />' <br />.Att.: A000nuto Payable . <br />- <br />. <br />Traoy, <br />C8 95376 <br />' Modesto, CA 95353 <br />. . <br />. . <br />. , <br />CUST'# G5Og �O# <br />' <br />TERMS <br />---------------------------------- <br />Net 30 <br />days <br />~_�___---___-_--__-_-_____--____-____-_-_-____ <br />��ocriptioo <br />TARE -WT <br />__NET_WT/OTY__Ooit_____Prioe___Exteooiou <br />----------------------------------------- <br />..- 'PICK UP DATE 02-03-05 <br />. <br />' MANIFEST #14223 <br />44 GALLON BED BAG <br />15.4 <br />'1I'� <br />�LBS <br />.2n5 <br />2'36 <br />,BIO <br />` 44 GALLON ROD BAG BIO <br />I5'4 <br />17'3 <br />LBS <br />.205 <br />3'65 <br />'`44GALLON RED BAG BIO <br />I5''4' <br />I2^5 <br />LBS <br />'2 <br />2'56 . ' <br />' Up DATE 02_I0-05 <br />| <br />' ��0I��S� �l4699 ' <br />` RED BAG BIO <br />44 ����O� <br />15.4 <br />14.5 <br />LBS <br />PICK <br />2O5 <br />'2�5 <br />2'97 <br />' ** ua��um �O���� BIO <br />l5^� <br />' <br />�l^I <br />LBS <br />' <br />4.33 <br />44 D BAG BIO <br />_ <br />I5 4 <br />_ <br />9 O <br />LBS. <br />_ <br />' ~~ <br />I ' 85 <br />PICK UP DATE 02-17-05 <br />. <br />MANIFEST #15I72 <br />44 RED BAG BIO . <br />16*'4 <br />4'4 <br />LBS <br />'205 <br />'90 <br />~~~'�-- <br />`.44 GALLON RED BAG BIO <br />l5 4 <br />' <br />_ <br />2O 9 <br />LBS <br />_28 <br />2O5 <br />4 _ <br />4 4 ����O� �8o I�� BIO <br />l5 4 <br />' <br />. <br />II 5 <br />�B8 <br />2O5 <br />' <br />2 36 <br />' <br />' <br />~4 GALLONRED BAG 8I0 <br />15.4 ' <br />15,1 <br />LBS <br />'205 <br />3`I0 <br />PICK OP [ATE 02-24-05 <br />` <br />MANIFEST #15620 <br />44 RED BIO <br />15'4 <br />�'7 <br />rBG <br />'205 <br />I'37 <br />~~ ^-�—�-- --- ��{ BIO <br />44 G8��om muu uau --- <br />_ <br />I5 4 <br />_ <br />� I <br />LBS <br />'295 <br />I 25 <br />' <br />RED BAG. <br />«4 G <br />I�'4 <br />75 <br />' <br />�8S <br />205 <br />' <br />~ <br />1.54 <br />�I0I�O� S�R�ZC� ��� <br />MINIMUM <br />O <br />' <br />4 U <br />' <br />��C8 <br />_ <br />�5 000 <br />lO0 .00_ <br />� Bed` Bag/Bio waste less than <br />contract <br />amount <br />WEIGH MASTER CERTIFICATE <br />.0 <br />1.0 <br />EACH <br />.000 <br />.00 <br />This is tocezify that the following described commodity was weighed, <br />measured,or counted by,a weigbmaater, whose,signature is on this ` <br />certificate, who is a recognized authority of accuracy, as prescribed by <br />Chapter (commencing with Section 12700) of Division 5 of the California <br />` <br />Business' '~~ Professions � Code, administered by the Division of Measurement <br />Staodarda~of the California Department of Food and Agriculture. Principle <br />Weigh Master: Central Valley Medical o� � di l Di oaal / Deputy Weigh Master: Walter <br />Brumley, Jr. Address: 4100 O Therese, Fresno, CA 93725 <br />Commodity: Medical Waste / Unit of Measure: Pounds ` <br />. <br />DOCUMENT OF DESTRUCTION ,O 1.0 EACH .00O .00 <br />This is to certify that the above described medical waste was treated in <br />AND CG,6� <br />
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