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Page: 1 of 2 <br /> 0. Stericyclee <br /> Experts in Infection Control and Healthcare Compliance Services Gambro Health Care-San Joaquin <br /> e Accounts Payable <br /> 9188 Glenoaks Blvd,suite 300 -':: : ;:<.::::> 115 <br /> sun Valley CA 91352 Columbia <br /> Aliso Viejo CA 92656-1458 <br /> FOR CUSTOMER FOR PICK-UP INVOICE DATE <br /> SERVICE INFORMATION INVOICE NUMBER CUSTOMER NUMBER TERMS <br /> CALL 800-953-9324 CALL 800-953-9324 <br /> 4 . _w .. <br /> Net 30 Days <br /> FLiis}BEeFI::.;:::.:.::.;»:<;;.. :.:>: :.:.:.::.>;:;•;::.:kG6i .... ...........:::............:. ... ...:. ..........:.::.........,:........::..:.:. <br /> :.:...... :::..:: ....:::.:::::::..: :. ...,.:.:....::::.::. :..:.:::::...:...:::.::...::::::.. ..:.. <br /> .:::::::;.:.:::::::::.:::WPI. ..:. . ;-:. ::::.::.:, . ..: .:::.:::::.:::::.:.::::::.:....:.:::::::.�:::.�.:. <br /> ;:.>::::::: �;�::::::::::.:>:.:::::.:::.;;:.:::. ::: 13;..(1. ?.::;;:.::.;:..:::.::.:tai : .::;::::.,:.:::::.:;:::. :•:::::.::.::.;;: <br /> Site: 001 Gambro Health Care ...::::.::;.;;•.;;;.;:.:;;::;;>,<;;s <br /> 3115 W March Ln, Stockton, CA 95219 <br /> WEIGHMASTER CERTIFICATE:This is to certify that the following described commodity was weighed,measured or counted by a weighmaster,whose signature is on this certificate, <br /> who is a recognized authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the California Business and Profes <br /> administered by the Division of Measurement Standards of the California Department of Food and Agriculture. sions Code, <br /> ® Commodity:Medical Waste;Weighed at:Stericycle,Inc.,1345 Doolittle Dr Ste C,San Leandro,CA 94577 Terry Shain Deputy Weighmaster <br /> 05 03 2004 MDRC002GEW 4.00 90 Gat Tub Bio CT 27.2 LB <br /> 05/03/2004 MDRC002GEW 1.00 Energy Charge 459.50 0.517 LB 237.56 <br /> 05/06/2004 MDRC002GVZ 5.00 90 Gal Tub(Bio)CT 27.2 LB 0.00 2:750 EA <br /> 05/06/2004 MDRC002GVZ 1.00 Energy Charge 537.40 0.517 LB 2.75 <br /> 05/10/2004 MDRC002H58 .6.00 90 Gal Tub(Bio)CT 27.2 LB 0.00 2.750 EA 277.84 <br /> 05/10/2004 MDRC002H58 1.00 Energy Charge 394.50 0,517 LB 2.75 <br /> 05/13/2004 MDRC002HOF 6.00 90 Gal Tub(Bio)CT 27.2 LEI 0.00 2.750 EA 203.96 <br /> 05/13/2004 MDRC002HOF 1.00 Energy Charge 509.30 0.517 LB 2.75 <br /> 05/17/2004 MDR0002HW0 4.00 90 Gal Tub(Bio)CT 27.2 LB 0.00 2.750 EA 263.31 <br /> 05/17/2004 MDRC002HWO 461.00 0 517 LB 2.75 <br /> 05/20/2004 MOR0002ICJ 1.00 Energy Charge 238.34 <br /> 4.00 90 Gal Tub(Bio)CT 27.2 LB 0.00 2.750 EA 2.75 <br /> 05/20/2004 MDRC002ICJ 1.00 Energy Charge 532.20 0.517 LB 275.15 <br /> 05/24/2004 MDRC002IME 6.00 90 Gal Tub(Bio)CT 27.2 LB 0.00 2.750 EA <br /> 05/24/2004 MDRC002IME 1.00 Energy Charge 572.40 0.517 LB 2.75 <br /> 05/27/2004 MDRC002J4A 5.00 90 Gat Tub(Bio)CT 27.2 LB 0.00 2.750 EA 295.93 <br /> 05/27/2004 MDRC00204A 518.50 0.517 LB 2.75 <br /> 05/31/2004 MDRG002JDV 1'00 Energy Charge 268.06 <br /> 5.00 90 Gal Tub(Bio)CT 27.2 LB 0.00 2.750 EA 2.75 <br /> 511.$0 0.517 LB 264.60 <br /> 0.00 0.00 0 00 <br /> 0.00 <br /> INVOICE T <br /> OTAL: CONTINUED <br /> Due to rising fuel costs, your invoice may reflect a temporary e <br /> 20TMOER• <br /> ON!A #/ <br /> • • moi. All <br /> IE <br /> CATION: THE MATERIAL LISTED ON THE MANIFEST S DETmom THE REQUIREMENTS OF FEDERAL, STATE, AND LOCAL REGULATIOS1�90V GOVERNING THE TS DTREA MENT ICAL WA,' )OF SUCH WASTEE A ACCORDANCE THIS <br /> FICATE,APPLICABLE MANIFESTS,AND THE APPROPRIATE LOGS WILL REMAIN ON FILE WITH THE COMPANY. <br /> 1173 5TE001 STM701'117P 00004MI 1 WMaso s _ DETACH AT PERFORATION AND RETURN BOTTOM PORTION WITH YOUR PAYMENT <br />