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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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I <br />INVOICE <br />Page No. 1 <br />CALIFORNIA MEDICAL DISPOSAL ,INVOICE # 104304 <br />� <br />CAp � 2©O'� <br />Box <br />APR DATE 03/31/05 <br />FRESNO <br />1-866-288-2634 ACCOwnt 1 <br />3 "aYab/0 <br />SERVICE' ADDRESS <br />Memorial Hospital Assoc <br />Sutter <br />Tracy Com Hosp Lab <br />P.O. Box 942 1 . , 1 <br />1420 N. <br />Tracy Blvd <br />Att: Accountb Payable <br />Modesto, CA 95353 <br />Tracy, <br />CA 95376 <br />CUST.# 5508 PO# TERMS <br />Net 30 <br />days <br />- - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - I - - - - - - - - - - - - - - <br />- - - - - - - - - - - - - - - - - - - - <br />Description TARE WT NET WT/QTY <br />Unit <br />Price Extension <br />---------------------------------------- J------------------------ <br />----------------------------------------- <br />I --------------PICK <br />UP DATE.03-10-05 <br />MANIFEST.#16565 <br />WASTE UNAVAILABLE -NONE .0 1.0 <br />EACH <br />.000 .00 <br />MINIMUM SERVICE FEE .0 1.0 <br />EACH <br />25.000 25.00 <br />Red Bag/Bio waste less than contract ai4ounte <br />PICK UP DATE 03-17-05 <br />I <br />MANIFEST #17029 <br />WASTE UNAVAILABLE -NONE .0 1.0 <br />EACH <br />..000 .00, <br />MINIMUM SERVICE FEE .0 1.0 <br />EACH <br />25.00 25.00 <br />Red Bag/Bio waste less than contract amount <br />' <br />PICK UP DATE 03-24-05 <br />MANIFEST #17479 <br />WASTE UNAVAILABLE -NONE .0 1.0 <br />EACH <br />.000 .00 <br />MINIMUM SERVICE FEEL .0,. 1.0 <br />EACH <br />25.000 25.00 , <br />Red Bag/Bio waste less than contract' amount <br />PICK UP DATE 03-31-05 • <br />MANIFEST #17951 <br />44 GALLON RED BAG BIO 15.4 13.9 <br />LBS <br />.205 2.85 <br />44 GALLON RED BAG.BIO 15.4 13.3 <br />LBS <br />.205 2.73 <br />20 GALLON PATHOLOGICAL 7.0 15.,9 <br />LBS <br />.650 10.34 <br />20 GALLON PATHOLOGICAL 7.'0 9.4 <br />LBS <br />.650 6.11• <br />MINIMUM SERVICE FEE .0 1.0 <br />EACH <br />25.000 25.00 <br />Red Bag/Bio waste less than contract amount <br />WEIGH MASTER CERTIFICATE .0 1.0 <br />FACH <br />.000 .00 <br />.This is to'cerify that the following described commodity was <br />weighed, <br />measured, or cotinted,by a weighmaster, whose signature is <br />on this <br />certificate, who is a recognized authority of accuracy, as <br />prescribed by <br />Chapter 7 (commencing with Section 12700) of Division 5 of <br />the California <br />Business and Professions Code, administered by the <br />Division <br />of Measurement <br />Standards of the California Department of Food and <br />Agriculture. <br />Principle <br />Weigh Master: Central Valley Medical Disposal / Deputy Weigh <br />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 <br />EACH <br />.000 .00 <br />n� � <br />
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