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i <br />1 <br />INVOIC 1 <br />1 <br />Page No. 2 <br />CALIFORNIA MEDICAL DISPOSAL' INVOICE # 104792 <br />.P.O Box 10250 ;DATE 05/31/05 <br />FRESNO, CA 93745 <br />1-.866-288-2634 1 <br />SERVICE ADDRESS 1 <br />Memorial Hospital Assoc Sutter Tracy Com Hosp'Lab <br />P.O. Box 942 1 1 1420,N. Tracy Blvd <br />Atti Accounts Payable <br />Modesto, CA 95353 Tracy, 'CA 95376 ' <br />CUST.# 5508 PO# TERMS Net'30 days <br />--- ----------------------------------------I-----'---------------------- ------ <br />Descri tion -__ TARE WT NFT WT/QTY Unit -Price---Extension <br />_ p--------- ---------- <br />is to certify that the above described-medical wa'ste was treated in i <br />dccordance with the requirements of Federal,, State and Local regulations <br />governing the treatment of medical waste. ,A,co�y of this certificate, <br />tracking documents, and0treatment logs are on file., The above invoice <br />number serves as your certifcation ofidestruation#number,i <br />, <br />L vlkN <br />1�` I '1v 0002 <br />-------------------------------------------------------------------------------- <br />WASTE STREAM - IN POUNDS SALES TAX .00 <br />Chemo .0 Pharm .0 <br />Pathology .0 Sharps .0 TOTAL BILLING 102.30 <br />Red Bag/Bio .0 Incin .0 <br />