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I <br />CALIFORNIA MEDICAL DISPOSAL <br />P.O. Box 10250 <br />INVOICE <br />Page No. 1 <br />:INVOICE # 104789 <br />DATE 05/31/05 <br />FRESNO, CA 93745 <br />1-866-288-2634 <br />JUN 0 9 2005 SERVICE ADDRESS <br />MEMORIAL HOSP ASSOCIATION Sutter Tracy Hospital <br />ATTN:ACCTS PAYABLE 1420 �. Tracy Blvd. <br />P.O. BOX 942 AcCou is i''ayable <br />MODESTO, CA 95353 Tracy, CA 95376 <br />COSTA 5234 ,PO# TERMS -Net 30 dayso <br />---------------------------------------------------------------------------- -1 <br />Description <br />-- ------ --------------------1Description TARE WT NET WT/QTY Unit Price Extension <br />---------------------- -------------------- -------------------------------- - <br />PICK UP DATE 05-05-05 <br />MANIFEST'#20405 <br />NO WASTE <br />MINIMUM SERVICE FEE .0 1.0 EACH 25.000 25.00 <br />Red Bag/Bio waste fess than contract amount <br />PICK UP DATE 05,-12-05 <br />MANIFEST #20888 <br />20 GALLON,CHEMO 7.0 10.2 LBS .650 6.63 <br />SHARPSMART PHARM PROCESS .0 206.5 LBS 1.250 258.13 <br />PICK UP DATE 05-19-05 <br />MANIFEST #21341 <br />NO WASTE <br />MINIMUM SERVICE FEE .0 1.0 EACH 25.000 25.00 <br />Red Bag/Bio waste less than contract amount <br />PICK UP DATE 05-26-05 <br />MANIFEST,#21813 <br />20 'GALLON CHEMO 7.0 9.2 LBS .650 5.98 <br />MINIMUM SERVICE FEE .0 1.0 EACH 25.000 25.00 <br />Red Bag/Bio waste less than contract amount <br />2.3% FUEL SURCHARGE .0 1.0 EACH 7.950 7.95 <br />WEIGH MASTER CERTIFICATE .0 1.0 EACH .000 .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 />This is to certify that the above described medical waste was treated in <br />, <br />' e <br />