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ericyc4e,"Inc. PAGE: 1 of 2 <br /> �t �.�� C' ® 13975 Polo Trail Dr, Suite 201 <br /> w ® Lake Forest, IL 60045 INVOICE DATE 02/28/2005;' <br /> In ANVOICE NURABER 0003164625 <br /> Exports in Infection Control and Healthcare Compliance Services CUST014 R NUMBER 6050356 <br /> C3 PREVIOUS BALANCE= $8,267 19 <br /> t' FOR CUSTOMER SERVICE ENT <br /> TOTAL ADJUSTMS <br /> a- GAMBRO HEALTHCARE-SAN JOAQUIN 866-STERI-CALL $0 00 <br /> ACCOUNTS PAYABLE TOTAL NEW HARGES <br /> ru15253 BAKE PKWY 866-783-7422 <br /> ro IRVINE,CA 92618-2502MMOL FOR PICK-UP INFORMATION TOTAL AMC)UNT DUE <br /> OW 800-MED-WASTE BY'03/30/20U5 $10;619 61.;: <br /> 800-633-9278 <br /> 31111-U 742.1GUOLIG86001690 612610A <br /> WEIGH 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,administered by the Division of Measurement Standards of the California Department of Food and Agriculture. <br /> YOUR ACCOUNT IS NOW SERIOUSLY DELINQUENT <br /> Commodity Medical Waste;Weighed at Stericycle,Inc.,1345 Doolittle Dr Ste C,San Leandro,CA 94577. Tom Stalberger,Deputy Weightmaster <br /> MAR 14 2005 . <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 <br /> PRICE TOTAL <br /> PREVIOUS BALANCE <br /> ADJUSTMENTS $8,267.19 <br /> NEW CHARGES <br /> Site 001: Gambro Health Care,3915 W March Ln,Stockton,CA 95219 $2,352.42 <br /> Commodity Medical Waste;Weighed at Stericyc/e,inc.,1345 Doolittle Dr Ste C,Sen Leandro,CA 94577. Tom Stalberger,Deputy Weightmaster <br /> 02/03/2005 MDRCOU39DX 1.00 Energy Charge 0.00 LB <br /> 02/03/2005 MDRC0039DX 6.00 90 Gal Tub(Bio)CT 27.2 LB 575 90 LB $2 750 EA $2.75 <br /> 02/07/2005 MDRC0039KC 1.00 Energy Charge o.0o LB $0.517 LB $297,74 <br /> 02/07/2005 $2.750 EA $2.75 <br /> MDRC0039KC 5.00 90 Gal Tub(Bio)CT 27.2 LB 584.70 LB $0.517 LB <br /> 02/10/2005 MDRC0039ZD 1.00 Energy Charge $3 .29 <br /> $2 <br /> 0.00 LB $2.750 EA $2.75 <br /> 02110/2005 MDRC0039ZD 4.00 90 Gal Tub(Bio)CT 27.2 LB <br /> 567.80 LH $0.517 LB $293.55 <br /> 02/14/2005 MDRC003A7K 1.00 Energy Charge 0.00 LB <br /> 02/14/2005 MDRC003A7K 6.00 90 Gal Tub(Bio)CT27.2L8 532.10 LB $2.750 EA $2,75 <br /> 02/17/2005 $0.517 LB $275.10 <br /> MDRC003ANK 1.00 Energy Charge 0.00 la $2.750 EA <br /> 02117/2005 MDRC003ANK 6.00 90 Gal Tub(Bio)CT 27.2 LB $2.75 <br /> 576.40 LB $0.517 LB $299.03 <br /> 02/21/2005 MDRC003AVQ 1.00 Energy Charge 0.00 LB <br /> 02/21/2005 MDRC003AVO 5.00 90 Gal Tub(Bio)CT 27.2 LB 573.70 LB $2 750 EA $2.75 <br /> $0.517 LB $296.60 <br /> I- PLEASE DETACH AND RETURN BOTTOM PORTION WITH YOUR PAYMENT IN THE ENCLOSED ENVELOPE <br />