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0is cle, Inc. 1 PAGE: 1 of 2 <br /> 75 Polo Trail Dr, Suite 201 <br /> ru 060, <br /> StericyCle l, Lake Forest, IL 60045 INVOICE DATE 10/31/2004; <br /> ® INVOICE NUMBER 0003027806 <br /> r CSTONER NUMBER 5050356 <br /> ru Experts in Infection Control and Healthcare Compliance Services <br /> INVOICE AMOUNT:DUE <br /> C3 BY 11/30/2004 ,t: $2,057.22 <br /> FOR CUSTOMER SERVICE <br /> w GAMBRO HEALTH CARE-SAN JOAQUIN 866-STERI-CALLCURRENT $2,057.22: <br /> ACCOUNTS PAYABLE 866-763-7422 '173.0 DAYS.. $0,00 <br /> C3 15253 BAKE PKWY31-60,DAYS <br /> rU IRVINE,CA 92618-2502 FOR PICK-UP INFORMATION <br /> C) <br /> 61=90 DAYS $0:00 <br /> 800-MED-WASTE OVER 90 DAYS $0:00 <br /> 800.633-9278 Ll <br /> 31111-U742.1DIOLBTAS002323 612610A <br /> WEIGHMASTER CERTIFICATE: This is to certify that the following described commodity was weighed,measured,or 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,administers ivision of Measurement Standards of the California Department of Food and Agriculture. <br /> NOV <br /> t 1 <br /> Al <br /> k, <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 WEIGHT PRICE TOTAL <br /> Site 001: Gambro Health Care,3115 W March Ln,Stockton,CA 95219 <br /> Commodity Medical Waste;Weighed at Stericycle,Inc.,1345 Doolittle Dr Ste C,San Leandro, CA 94577. Tom Stalberger,Deputy Weightmester <br /> 10/04/2004 MDRC002WNG 1.00 Energy Charge 0,00 LB $2.750 EA $2,75 <br /> 10/04/2004 MDRC002WNG 4,00 90 Gel Tub(Bio)CT 27.2 LB 450.10 LB $0.517 LB $232.70 <br /> 10/07/2004 MDRC002X4B 1.00 Energy Charge 0.00 LB $2.750 EA $2.75 <br /> 10/07/2004 MDRC002X4B 6.00 90 Gal Tub(Bio)CT 27.2 LB 516.20 LB $0.517 LB $266.88 <br /> 1011112004 MDRC002XDX 1.00 Energy Charge 0.00 LB $2.750 EA $2.75 <br /> 10/11/2004 MDRC002XDX 6.00 90 Gal Tub(Bio)CT 27.2 LB 495.40 LB $0.517 LB $256.12 <br /> 1011412004 MDRC002XVI 1.00 Energy Charge 0.00 LB $2.750 EA $2.75 <br /> 10/14/2004 MDRC002XVI 5.00 90 Gal Tub(Bio)CT 27.2 LB 518.60 LB $0.517 LB $26B.12 <br /> 10/18/2004 MDRC002Y54 1.00 Energy Charge 0.00 LB $2.750 EA $2.75 <br /> 10/18/2004 MDRC002Y54 5.00 90 Gal Tub(Bio)CT 27.2 LB 542.80 LB $0.517 LB $280.63 <br /> 10/2112004 MDRC002YKA 1.00 Energy Charge 0.00 LB $2.750 EA $2.75 <br /> 10/21/2004 MDRC002YKA 4.00 90 Gal Tub(Bio)CT 27.2 LB 485.30 LB $0.517 LB $250.90 <br /> 10/25/2004 MDRC002YV7 1.00 Energy Charge 0.00 LB $2.750 EA $2.75 <br /> 10/25/2004 MDRC002YV7 4.00 90 Gel Tub(Bio)CT 27.2 LB 438.50 LB $0.517 LB $226.70 <br /> 10/28/2004 MDRC002ZCZ 1.00 Energy Charge 0.00 LH $2.750 EA $2.75 <br /> 10128/2004 MDRC002ZCZ 6.00 90 Gal Tub(Bio)CT 27.2 LB 489,70 LB $0:517 LB $253.17 <br /> PLEASE DETACH AND RETURN BOTTOM PORTION WITH YOUR PAYMENT IN THE ENCLOSED ENVELOPE <br />