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CALIFORNIA MEDICAL DISPOSAL <br />P.O. Box 10250 <br />FRESNO,. CA 93745 <br />1-866-288-2634 <br />f 1 <br />INVOICE <br />APS ®8 200.5 <br />i CCOUnt <br />Page No. 1 <br />,INVOICE # 104304 <br />DATE 03/31/05 <br />PICK UP DATE 03-17-05 <br />MANIFEST #17029 <br />WASTE UNAVAILABLE -NONE .0 1.0 <br />MINIMUM SERVICE FEE .0 1.0 <br />_.Red Bag/Bio waste less than contract amount <br />PICK UP DATE 03-24-05 <br />MANIFEST #17479 <br />WASTE UNAVAILABLE -NONE .0 1.0 <br />MINIMUM SERVICE FEE .0 1.0 <br />Red Bag/Bio waste less than contract amount <br />EACH � .000 .00. <br />EACH 25.0T0 25.00 <br />EACH .000 .00 <br />EACH 25.000 25.00 <br />PICK UP DATE 03-31-05 <br />S <br />tla.YabiO <br />SERVICE' <br />ADDRESS <br />Memorial Hospital Assoc <br />MANIFEST #17951 <br />Sutter <br />Tracy Com Hosp Lab <br />P:O. Box 942 0 . I 1 <br />44 GALLON RED BAG BIO <br />1420 N. <br />Tracy Blvd <br />Att: Accounth Payable <br />.2105 <br />2.85 <br />44 GALLON RED BAG BIO <br />15.4 <br />Modesto, CA 95353 <br />LBS <br />.205 <br />Tracy, <br />CA 95376 <br />CUST.# 5508 PO# <br />15.9 <br />TERMS <br />Net 30 days <br />Description <br />TARE WT <br />NET WT/QTY <br />Unit <br />Price Extension <br />---------------------------------------------------e---------------------------- <br />PICK UP DATE 03-10-05 <br />MINIMUM SERVICE FEE <br />.0 <br />1.0 <br />EACH <br />MANIFEST.#16565 <br />25.00 <br />Red Bag/Bio waste less than <br />contract <br />amount <br />WASTE UNAVAILABLE -NONE <br />.0 <br />1.,0 <br />EACH <br />.000 .00 <br />MINIMUM SERVICE FEE <br />.0 <br />1.0 <br />EACH <br />25.000 25.00 <br />Red Bag/Bio waste less than <br />contract <br />mount <br />PICK UP DATE 03-17-05 <br />MANIFEST #17029 <br />WASTE UNAVAILABLE -NONE .0 1.0 <br />MINIMUM SERVICE FEE .0 1.0 <br />_.Red Bag/Bio waste less than contract amount <br />PICK UP DATE 03-24-05 <br />MANIFEST #17479 <br />WASTE UNAVAILABLE -NONE .0 1.0 <br />MINIMUM SERVICE FEE .0 1.0 <br />Red Bag/Bio waste less than contract amount <br />EACH � .000 .00. <br />EACH 25.0T0 25.00 <br />EACH .000 .00 <br />EACH 25.000 25.00 <br />PICK UP DATE 03-31-05 <br />A <br />MANIFEST #17951 <br />44 GALLON RED BAG BIO <br />15.4 <br />13.9 <br />LBS <br />.2105 <br />2.85 <br />44 GALLON RED BAG BIO <br />15.4 <br />13.3 <br />LBS <br />.205 <br />2.73 <br />20 GALLON PATHOLOGICAL <br />7.0 <br />15.9 <br />LBS <br />.650 <br />10.34 <br />20 GALLON PATHOLOGICAL <br />7.'0 <br />9.4 <br />LBS <br />.650 <br />6.11 <br />MINIMUM SERVICE FEE <br />.0 <br />1.0 <br />EACH <br />25.000 <br />25.00 <br />Red 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 to cerify that the following described commodity was weighed, <br />measured, or 'counted by a weighmaster, whose signature is on this <br />certificate, who is a recognized authority of accuracy, as prescribed by <br />Chapter 7 (commencing with Section 12700) of Division 5 of the California <br />Business and Professions Code, administered by the Division of Measurement <br />Standards of the California Department of Food and Agriculture. Principle <br />Weigh Master: Central Valley Medical Disposal / Deputy Weigh 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 EACH .000 .00 <br />