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_ <br /> (� Stericycle, Inc. <br /> f S$e!'®C�/C/@® 13975.Polo Trail Dr, Suite 201 <br /> "' Lake Forest; IL 60045 PAGE 7 of <br /> o <br /> OVYOICE DqT <br /> w , <br /> L7 Experts in Iretooyon Coro! mptie <br /> anceServices nd Healthcare Co Cr SER 09�30�2Q0 <br /> oz <br /> r SOA��4 <br /> "' ltUG?I r ER <br /> i 605035E <br /> I'-' E<aouHr<duE <br /> GAMBRO HEALTH CARE-SqN JpAQUIN <br /> FOR CUSTOMER SERVICE r r ?�1 ��20Q <y <br /> Ir ACCOUNTS P $2,217 9b <br /> PAYABLE 866-STERI-CALL <br /> r 115 COLUMBIA 866 <br /> rruu ALISO VIEJO, CA 92656-1458 866.783-7422 130 bA%5 <br /> 1 21' 90 <br /> FOR PICK-UP INFORMATION 3 I�60 Dr�YS $0 00„ <br /> 800-MED-WASTE1 CJD DAYS $D OQ <br /> WEIGHIMAS'l CERis TIFICATE; <br /> 800-633-19278 OYER $0 0Q; <br /> on this certificate,and This Is to certify that the following dascribedcommod $.0 <br /> California:Business and Profess ons reccognizeadministeredauthority <br /> of <br /> accuracy,as 'was weighed, 31.111 U742"1 CMOX4TCV002352 612610A <br /> prescribed b g meas ed,or counted by a aster;whose signature <br /> y Chapter 7(commencing Y the Division of Maasurement Stan g Section 12700 of <br /> dards of the California Department) Division 5 of the <br /> of Food and Agriculture. <br /> CERTIFICATION:The material listed on the OCT 1 <br /> regulations governing the treatmentmanifest#s 5 2W <br /> of such O details below(infectious medical waste <br /> waste.A copy of lfiis certificate, )has been treated in accordance <br /> DATE MANIFESTt QUANTRY/ aPPlicabie manifests,and the a with the requiramerrts.offederal.state,and local <br /> ORDER NUMBER CONTAINERS pproPriate logs viii remain on file <br /> DESCRIPTION with the company. <br /> Site 001; (;Medical <br /> Heath Care,3115 W March Ln,St. <br /> Cornmodl WEIGHT <br /> ty lNedica!Waste;.Wel ckton,CA 95218 PRICE <br /> Weighed et SterTcycle,Inc.,t TOTAL <br /> 09/02/2004 MDRC002TD0 345 Dooifttie Dr Ste C, <br /> 09/02/2004 1.00 San Leandro CA 84577 TerryShein, <br /> MDRC002TDQ Energy Charge Deputy Wefghmester <br /> 09/06/2004 MDRC002TOO 6.00 90 Gal Tub(Bio)CT 27,2 LB 0.00.LB <br /> 09/06/2004 1.00 $2.750 EA <br /> MDRC002TOQ Energy Charge 524.90 LB $2.75 <br /> $0.517 La09/09/2004 MDRCoo2U49 3.00 90 Gal Tub(Bio)CT 27.2 LB 0.00 LB $271.37 <br /> 09/09/2004 1.00 Ener 406,40 LB $2.750 EA <br /> MDRC002U48 gYCharge. $2.75 <br /> 09/13/2004 MDRC002UEI 4.0o 90 Gai Tub(Bic)CT $0.517 LB 27.2 LB 0.00 LB $210.11 <br /> 09/13/2004 1.00 Ener C 424.40 LB $2.750 $2.75 <br /> 08/16/2004 MDRC0o2UX6 6.00 90 Gal Tub(Bio)CT 27 $219.41 <br /> MDRC002UEI 9Y .barge $0.517 L8.2 LB 0.00 LB <br /> 09/16/2004 1.00 E 496.20 LB $2.750 EA <br /> MI]RC002UX8 Energy Cham 17 LB $256-54 <br /> E $2.75 <br /> 09/20/2004 MDRC002V6Z 6,00 90 GalTub(Sio)CT27.2 LB 0,00 L8 $o.5 <br /> 09/20/2004 1.00 505.50 LB $2.750 EA <br /> MDRC002V6Z Energy Charge $2.75 <br /> 09/23)2004 MDRC002VNK 4.00 90 Gal Tub(Bio)CT 27.2 LB 0.00 LH $0.517 LB $261.34 <br /> Energy 09/23/2004 1.00 507.70 LB $2.75o EA <br /> MDRC002VNK $2.75 <br /> 09/27/2004 MDRCo02VWP 6,0o 90 Gal Tub(Bio)CT27.2 LB 0.00 LH $0.517 LB $262.48 <br /> 09/27/2004 1.00 Ener C 584.40 LB $2.750 EA <br /> MDRC002VWp Energy Charge $2.75 <br /> 4.00 90 Gal Tub(Bio)CT 27.2 LB 0.00 LB $0.517 LB $3 02.13 <br /> 389.00 LB $2.750 EA <br /> $0.517 LB <br /> PLEASE DETACH AND RETURN BOTTOM PORTION WITH YOUR PAYMENT IN THE ENCLOSED <br /> $2,75 <br /> OSED ENVELOPE <br />