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e <br />, <br />INVOICE , <br />Page No. 2 <br />CALIFORNIA MEDICAL DISPOSAL INVOICE # 104304 <br />P.O. Box 10250 DATE 03/31/05 <br />FRESNO, CA 93745 <br />1-866-288-2634 <br />SERVICE ADDRESS <br />Memorial. Hospital Assoc Sutter Tracy Com Hosp Lab e <br />P.O. Box 942 1420 N. Tracy Blvd <br />Att: Accounts Payable e <br />Modesto, CA 95353 Tracy, CA 95376 <br />CUST A 5508 PO# TERMS Net 30 days <br />-----------p--------------------------=----------------------------------------- <br />Description TARE WT NET WT/ TY Unit Price Extension` <br />----- <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 on file. The above invoice <br />.number serves as your certifcation of destruction number. <br />APR l 6 ,, . <br />• <br />PLE1101 SIGN <br />AND CODE <br />-------------- <br />WASTE STREAM_ - <br />IN POUNDS SALES TAX .00 <br />Chemo .0 Pharm 0 <br />Pathology 25.3 Sharps .0 TOTAL BILLING 122.03 <br />Red Bag/Bio 27.2 <br />