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Otericycle, Inc. <br /> terje de- 13975 Polo Trail Dr, Suite 201 <br /> Lake Forest, IL,60045 INVOICE DATE . <br /> INVOICE NUIV�ER <br /> Experts in Infection cant-I and Healthcare Compliance Services CU$TQMER NUMBER <br /> _® INVOICE AMOUNT DUE <br /> BY 09/30/2004 <br /> FOR CUSTOMER SERVICE $2�420 84 <br /> GAMBRO HEALTH CARE-SAN JOAQUIN <br /> ACCOUNTS PAYABLE 866-STERI-CALL CURRENT <br /> ® 115 COLUMBIA 866-783-7422 1-30 DAYS <br /> ALISO VIEJO,CA 92656-1458 $0.00 <br /> FOR"PICK-UP INFORMATION 31=1i0 DAYS $0 6 <br /> -_= 800-MED-WASTE 61-90 DAYS" $0:00 <br /> 800-633-9278CIA <br /> �� 31111-0FYD002374 612610A <br /> 742"16T'0TO <br /> WEIGHMASTER CERTIFICATE: This is to certify that the following described commodity was weighed,measured,w counted by a weighmaster,whose signature <br /> is on this certificate,and who is a recognized authority of accuracy,as prescribed by Chapter 7(commencing with Section 12700)of Division 5 of the <br /> California Business and Professions Code,administered by the Division of Measurement Standards of the California Department of Food and Agriculture. <br /> VOUCHERA�L�q aP 17 <br /> ENTER DATEJIL/ <br /> CERTIFICATION:The material listed on the manifest#(s)details below(infectious medical waste)has been treated in accordance with the requirements of federal,state,and local <br /> regulations governing the treatment of such waste.A copy of this certificate,applicable manifests,and the appropriate logs will remain on file with the company. <br /> MANIFEST/ QUANTITY/ <br /> DATE ORDER NUMBER CONTAINERS DESCRIPTION <br /> WEIGHT PRICE TOTAL <br /> Site 009; Gambro Health Care,3115 WMarch Ln,Stockton,CA 95299 <br /> Commodity Medical Waste;Weighed at Stetioycle,Inc.,1345 Doolittle Dr Ste C.San Leandro,CA 94577. Tent'Strain,Deputy Weighmaster <br /> 08/02/2004 MDRC002PXY 1.00 Energy Charge <br /> 08/02/2004 MDRC002PXY0.00 LH $2.750 EA $2.75 <br /> 5.00 44 Gel Tub(Bio),CT 12.7 Ib <br /> 08/05/2004 MDRC00201V 294.20 LB $0.517 LB $152.10 <br /> 1,00 Energy Charge <br /> 08/0512004. MDRC00201V 12.00 44 Gal Tub(Bio),CT 12.7 lb 0.00 LB $2.750 EA $2..75 <br /> 08/09/2004 MDRC0020PI 686.20 LB $0.517 LB $354.77 <br /> 1.00 Energy Charge <br /> 08/09/2004 MDRC002QPi 0.70 LB $2.757 EA $2.75 <br /> 7,00 44 Gat Tub(Bio),CT 12.7 Ib <br /> 08/12/2004 MDRC002R61 515.60 LB $0.517 LB $266.57 <br /> 1.00 Energy Charge 0.00 LB <br /> 08/12/2004 MDRC002R61 12.00 44 Gal Tub(Bio),CT 12.7 Ib 52.757 EA $2.75 <br /> 08/18/2004 MDRC002RFD 562.60 LB <br /> 1.00 Energy Charge $0.517 LB $290.86 <br /> 08/16/2004 MDRC002RFD 6.00 90 Gal Tub(Bio)CT 27.2 LB 0.00 LB $2.750 EA $2.75 <br /> 08/19/2004 MDRC002RX3 589.00 LB $0.517 LB <br /> 1.oo Energy Charge $304.51 <br /> 08/19/2004 MDRC002RX30.00 LB $2.750 EA $2.75 " <br /> 6.00 90 Gal Tub(Bio)CT 27.2 LB 499.80 LB <br /> 08/23/2004 MDRC002S61 1.00 Energy Charge $0.517 LB $258.40 <br /> 08/23/2004MDRC002S61 4.00 80 Gal Tub(Bio)CT 27.2 LB 0.00 LB $2.750 EA $2.75 <br /> 432.60 LB $0.517 LB $223.65 <br /> 08/26/2004 MDRC002SM5 <br /> 1.00 Energy Charge <br /> 08/26/2004 MDRC002SM50.00 LB $2.750 E75 <br /> A $2 <br /> L 6.00 90 Gal Tub(Bio)CT 27.2 LB 534.80 LB <br /> 1_ ....-,..,-..�..,.,.. ,..�..�.... .........-..........-..,.......�..............,..$0�527 LB_..�......-...$276:49 ^ <br />