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t <br />INVOICE <br />' e <br />Page No. 2 <br />CALIFORNIA MEDICAL DISPOSAL INVOICE # 104304 <br />P.O. Box 10250 DATE 03/31/05 e <br />a <br />FRESNO, CA 93745 <br />1-866-288-2634 <br />SERVICE ADDRESS <br />Memorial, Hospital Assoc Sutter Tracy Com Hosp Lab <br />P.O. Box 942 1420 N. Tracy Blvd <br />Att: Accounts Payable <br />Modesto, CA 95353 Tracy, CA 95376 <br />CUST.# 5508 PO# 'TERMS Net 30 days <br />-------------------------------------------------------------------------------- <br />Description TARE WT NET WT/QTY 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 2,- <br />PLEASE S -MN <br />AND CODE. <br />--------------- <br />WASTE STREAM - 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 />