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06/11/2003 07:38 209-46 ' 072 SJC PUB HEALTH UI PAGE 04
<br /> 16145 JUN 10, 20 3 Toll JUDITH FR-. SCQT'C if�t.E1" 0144505 PR(--"-'- c�G
<br /> Page: Of I
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<br /> San J�clta.in Pub x11;1]. Svc=
<br /> The S(]eciallgl in Nunagi agMcd1cal Waste Public xltb.'Lab-waste Removal
<br /> PO Aox 2009
<br /> A p0 Box 79146 gtookton CA 9S201-2009
<br /> pyoFNIX AZ 85452.9145
<br /> FOR CUSTOMER FOR PICK-UP INVOICE DATE
<br /> INVOICE NUMBER CUSTOMCr(NUMBER TERMS
<br /> SERVICE 84FoRMATiON 0002155458 6038109 Net 30 pay-'
<br /> CALL$44.959.9324 CALL$44.952.9324 02f 29/2003
<br /> ta+ i
<br /> site! 001 Stn JOac(uLrx Ptlb'HJ.th EVA " AO PQlvflbr+: 1'A3-0!16014-A
<br /> iG01 .carat Ha.vejton Ave.rwe, €tockt:nn, CA 9520E of
<br /> who it a WEIGHMAS.7ERrroonri.ri ERTIFICATmul of aiaavftC' prtecdr bt!A AitCting OCnr T.dbod opmmoooinq ity*Ik $sionQ127t10)of pmet on 5 of uh,onttrro Cod glifornialB a nose and Nrofm Mo etCOAo,nn i nia ertr<M4cola+,
<br /> adminisluee t by tho DM500"of gRnpatuom ant£4nonrd9 of(ho entifordifl OnpnttMeel of Food end Aoricuaum.
<br /> Commo4a y:Madictt Wont o;weiOnnd at:Slannycle,Ina,1348 Oooiit119 Or Solo C,Ger t.oandr4,CA 94,577 T4rrx$Wu N011ty N'ei0hmaster
<br /> 45910 EA 183.64
<br /> t12/Oa/20i)3 Mb?2r 001011 9.00 10.7 LR 17.2.40 91.87.
<br /> 0.00 ; 45.910 EA l
<br /> 02'06 o ;
<br /> MOAC0010, 11 :.00 37 Ohl II)h (11 0), 16.7 LLt 0.00 41,.910 F.A 275,4G
<br /> 02!3.1/2003 MnRC001DYH 6.00 37 Gal Tub (Aza), 0.00 45.93.0 EA 27.9. 5
<br /> 02/13/2003 MORCO0114J 5.00 37 Gal J'uh (Aio), 10.7 LB 0 00 45,91.0 Aa 117.73
<br /> 0,/]A!2003 MDRCOfl11G1 3-OD 37 Gal Tuh (Hio)r 10.7 LS 0.00 I 45,91.0 EA 229.55
<br /> 0</20/2003 MDRC001290' L.00 37 Gal Tub (Hio), 10.7 LB D n0 !` 45 910 PA 91.03
<br /> 02/25/7002 MDACO0120r 7.1.00 37 pR3 Tub (Rxa), 10.7 L9 p,n0 45.910 FA 321.37
<br /> n2/27/2003 MOP.000135A 7.00 37 Oal TQb J'sja), 10.7 L6
<br /> SITt-9IJBTOTM-AMT= ;1,560.94
<br /> $•LTE-TOTAL-TA ; $0.00
<br /> SITE-TOTAL-AMT: $1,560.94
<br /> Ply, !: ��8'4:=51jiG15SK;_':;:c: ': :$1�Yi�AS!g;:::7:i{/r}:::::C.IVeE':3b�:p•:e,�
<br /> 1,560.9k 1, 0.1D 1,551.00 1,��7;57• 1,995.OD INVOICE TOTAL, r1,..,
<br /> G.7
<br /> FIR i$3AI�E�iC�P1•Tiiiia`;:
<br /> PAYMSdtFC IS NCW NIM= TO AVOID SMZVICE SM1,51 LSIt�1T,
<br /> Ycyus 1t7'�mic >ria)r reflect a rare AdjuGtment for your 2003 g=x+riae•
<br /> I;ER-fgiEA ION.TIS ATERIAL LISTEII Or•I THF KiI IFEfi�T#"(31 COW-TA A6oVE(INFi:CTMS MtDICAL WASTE)M,AS BEEN 7RFJ1TF0 IIt ACCO DANCE
<br /> WITH THE nEQUIREMENM OF FEDERAL, STATE, AND I„OCAL REGULATIONS GOVERN94G THE TREATMENT 00 SUCH WASTE. A COPY OF THIS
<br /> CERTMATE,AI^P IGW: Lr=MANIFESTS,AND 714E APPROTPIATE LOGS WILL REMAIN ON FILE WITH THE COMPANY. �-
<br /> s*owt _ ».+ ^_ _DETACH AT PSRFORATION ANC)RETURN SOTTOM PORTION WITH YOUR PAYMENTT--- -- - --- -- -- - -- - --
<br /> .,
<br /> ., ., DETACH- __ -_ ., _ __ _ _ _ _ __.,_- "" "'- _©�.s"nerio>�n Expre4s n VISA❑ t4Aas4rrGard t] Cli3torrr
<br /> 0 stem cls -��
<br /> Crodll Ac
<br /> Gard countNumhrr Expintion Dato
<br /> 400 The Spceitll is t in 181,nngi n.$!Al ediael iUatrtC
<br /> S�itanattftA
<br /> PO SOX 70145
<br /> PHOMTX AZ$8402-5-145
<br /> 00060387109 00021SS455 00001560914 3 13;10001
<br /> Li 'pyN-0.1 Pj.IO wrSto A...111.paid below
<br /> Senn 3Oagiin Pub Klth c-ac 11RA52 S9'RRICYCLE TNC
<br /> Pul'lir Elth Lab-waste RettMI 0") D PO BOR 79745
<br /> PO Bcnr 7..009 Fik'YMENT PMbjtT.X AZ 85062-9145
<br /> Sto&ton CA 95201-2009 TO
<br /> Invpice Customer 1Jate: Invaictl Amount
<br /> Number: 0002155458 Numbtm 6038109 0?.�?8/2003 Amount: 51,560.94 Paldi $
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