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R <br />< r <br />,1, R <br />a I , <br />INVOICE <br />Page No. 2 <br />CALIFORNIA MEDICAL DISPOSAL r INVOICE # 104793 <br />P.O. Box 10250 'DATE 05/31/05 <br />FRESNO, CA 93745 <br />1-866-288-2634 <br />r <br />SERVICE ADDRESS i <br />Memorial Hospital Assoc r , Sutter Tracy Eaton Ave <br />P.O: Box 942 445 West Eaton Ave <br />Att: Accounts Payable , <br />Modesto, CA 95353 r r, Tracy, CA 95376 <br />CUST A 5509 PO# TERMS Net ' 30 days <br />----- ---------------------------TAR----------------' <br />Description E WT NE,T WT/QTY Unit Price Extension <br />------------------------------------ <br />This is to certify that the above described medical waste was,treatgd in <br />accordance with the regpirements of Federal.,' State and T,ocal regulations <br />governing the treatment of medical waste. A copy of this certificate, <br />tracking documents, and treatment logs are on fill. The above invoice <br />number serves as your certifcation of destruction number. <br />I � <br />I <br />Jae l � I g PA VEMnU UN, <br />AI`'D CDD <br />jr-_- <br />---------------------------------------------------------- -WASTE STREAM - IN POUNDS SALES TAX .00 <br />Chemo .0 Pharm .0 <br />Pathology .0 Sharps .0 TOTAL BILLING 135.80 <br />Red Bag/Bio 159.7 Incin •0 <br />