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e <br />r <br />,hF A <br />F INVOICE <br />i <br />CALIFORNIA MEDICAL DISPOSAL <br />P.O. Box 10250 <br />FRESNO, CA 93745 <br />1-866-288-2634 <br />Memorial Hospital Assoc <br />P.O. Box 942. <br />Att: Accounts Payable <br />Modesto, CA 95353 <br />C <br />Page No. 1 <br />INVOICE # 103783 <br />DATE 01/31/05 <br />SERVICE ADDRESS <br />Sutter Tracy Eaton Ave <br />445 West Eaton Ave <br />Tracy, CA 95376 <br />CUST.# 5509 PO# <br />TERMS <br />Net 30 <br />days <br />-------------------------------------------- <br />Description <br />TARE WT <br />NET WT/QTY <br />Unit <br />Price <br />Extension <br />---------------------------------------------------------------------------- <br />.PICK UP DATE 01-06-05 <br />MANIFEST #12381 <br />44 GALLON RED BAG BIO <br />15.4 <br />17.0 <br />LBS <br />.20'5 <br />3.49 <br />44 GALLON RED BAG'BIO <br />15.4 <br />15.1 <br />LBS <br />.205 <br />3.10 <br />44 GALLON RED BAG BIO <br />15.4 <br />20.5 <br />LBS <br />.2015 <br />4.20 <br />PICK UP DATE 01-13-05 <br />MANIFEST #12842 <br />44 GALLON RED BAG BIO <br />15.4 <br />19.0 <br />LBS <br />.205 <br />3.90 <br />44 GALLON RED BAG BIO <br />15.4 <br />11.0 <br />LBS <br />.205 <br />2.26 <br />44 GALLON RED BAG BIO <br />15.4 <br />8.3 <br />LBS <br />.2015 <br />1.70 <br />PICK UP DATE 01-20-05 <br />MANIFEST.#13292 <br />44 GALLON RED BAG BIO <br />15.4 <br />19.8 <br />LBS <br />.205 <br />4.06 <br />44 GALLON RED BAG BIO <br />15.4 <br />18.7 <br />LBS <br />.205 <br />3.83 <br />44 GALLON RED BAG BIO <br />15.4 <br />16.6 <br />LBS <br />.205 <br />3.40 <br />PICK UP DATE 01-27-05 <br />MANIFEST #13747 <br />44 GALLON RED BAG BIO <br />15.4 <br />14.7 <br />LBS <br />.205 <br />3.01 <br />44 GALLON RED BAG BIO <br />15.4 <br />26.7 <br />LBS <br />.205 <br />5.47 <br />44 GALLON RED BAG BIO <br />15.4 <br />8.0 <br />LBS <br />.205 <br />1.64 <br />MINIMUM SERVICE FEE <br />.0 <br />4.0 <br />EACH <br />25.000 <br />100.00 <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 FEB 18 2M <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 />This is to certify that the above described medical waste was treated in e7 <br />accordance with the requirements of Federal, State and Local regulations <br />FEB 11. 2005 <br />