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06/11/2003 07:38 209-46 072 SJC PUB HEALTH S&RVI PAGE 05
<br /> 152 JLN 19, T0= JUDITH
<br /> FR P! 5COTT SML E`! *144507 PAGE 2i8
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<br /> Sail Jmquin Ptah Hlth 5`.vC
<br /> - tSpecialisl in Public Hlth Lab-waste 4.emovd1
<br /> PO Rbx 2009
<br /> 0 PO BOX 70145 Ez���
<br /> ctO ktOYl CA 95�O1-2d09
<br /> PHOENIX AZ 85082-954'.
<br /> FOR CUSTOMER FOR PICK-UP INVOICE DATE
<br /> moiCENUMMR CuSm MIR NUMBER TERMg
<br /> 6ERY102 ImFORMATtON 0002199'142 6938109 Net. 30 Day.
<br /> CALL 404).% CALL 8Qti•963 9324 03/31/?.003
<br /> :';VtciC'.'1'1T':•f�•'.':•:`.1..r:;!'1;,4?R(5:�,:4}fl�l .'T.
<br /> T�1
<br /> 20 plumber: TA3-096019-A
<br /> 001. San 3C.•tquin pab,. lrlth VVC
<br /> 1601 East Hazelton, Avenue, Atoektan, CA 45201 naturo;Annthtarnetineetm
<br /> WFICHMASTFR OYRTIFIf.AT15:Thit,isle cw(0I1,pt the folld rig do.cribO.commodity I Wim,hnd,m aor°d of n of w by a wdphmaato-S nn aooi2
<br /> who is a orgo bwnqn1xvd DhAftxitr of ermiraUn as D
<br /> rmeribed by Cha nr 7(Cnmmendn9 With 8 ice'1.100! tlivieivn n o£thro Calttornin BaalnonF and f Mtmslons Cone,
<br /> PdmMlct oroSi by the Dlrlsion of MpnaVfam not^atogda Ma of the panMmla 0tp,11rtmm+l of Fwd and Aq dcullurn.
<br /> AmlLaardto,CA04577' IRKy�6hDin NPLOW010hmaa1W .
<br /> Commnday:Mptitrai Wako;Wal9hod at:clta9eyolo,In,,.1346 OeolUtt�a a 510 C, r
<br /> Sn.SD 45.910 FA 321..37
<br /> 03/04 2003 14DRCD013(V ' 00 37 Gal hut, (Bio)t 10.7 LB o.OD 4L.910 GA 137.73
<br /> 03/06/2003 MDRC001418 3.00 37 0fl1 Tub (Rao), 10.7 L8 0.00 45.910 RA 121 311
<br /> 03/11/8003 MO;ZC00141F 7.00 37 Gal Tuff (Bio), 10,7 LB 0,00 4+.910 EA 275.41
<br /> 03/13/2003 MDRC0014XF C,.00 37 G.3 Luff (Aio)r 10.7 LB 0 0n 45.910 FA ?17.7y
<br /> 03/].8/2003 MDRC0015DO 3.00 37 Oat b (flip), 10,7 LB 0.00 45,910 EA 183•G4
<br /> n3/20/2003 14DRCOOISTA ?-00 37 0>q1 Tuh (Rio), 10.7 T.R 45.910 FA 367.28
<br /> 0.00 65 9)•
<br /> 03/25/2003 pgDRC0016AL fl.00 37 Gal Tti.bTub (Bio), 10.7 t,R 1 45•91n EA
<br /> na/27'/2fl03 INVACC01600 3..40 37 0>1 Tuh (Bio}, 10.7 I,R n.00 17.340 EA 17,11
<br /> .03/27/2003 MORCO01600 1_00 M9.nitaadt Pixk-up Pnn•
<br /> fiTTE-STIRTOTAG-AMT:
<br /> &ITR-TOTAL-TAY.:
<br /> S1T8-T0TAI.-AMT: $a,007,R3
<br /> '::.:}�r4rT4"rt'.:�'r.:'<: :}:`'.1:.':"1=3Vjr3.ayS:'';;i:: `..<r:�`f:SQ�:y�i`:':;. :i�i:�;1:•GA�i'+A'�?.:`.::i.'� :.:':.;•;:aTlesh'•3'�;TA,'}d,°-r'r::5::'.
<br /> D 00 0.00 0.00 INVOirE TOTAL.
<br /> 1,ao'l 3 1,560.94 ..
<br /> THWNK YOU ?(A KEEPITQ YOUR ACC;i'XM CURRIWr.
<br /> ycafr im>'oi,ce may reflect a. 'gat:,= adjlls'trwent ler vrxla 2003 FserkiCe•
<br /> 'CERTFiCAT�N:THE MA ERIAL LFoTCb Ort THE MANIFEST>;'(S)1?ETALED ABOVE(1N1-ECTlOUPi DR.AL WASTE)HAS ftN Tf�8A7ED IN ACCORDANCE II
<br /> WITH TWE REQUIREMENES OF F60SAL. STA?Iw. AND LOCAL PSGULAVONS GOJERNNG THE TREATMENT OF SUCH WAS'M• A COPY OF THIS I
<br /> CERTIFICATE.APPLK;ABLE MAN�ESTu.ANC THE APPROPRIATE_LOGS WILL REMAIN ON FSE W ffH THE COMPANY.
<br /> sraoof W^__, •r_ _DETACH AT PSAFORATION AND RE(UU)BOTTOM POIRTKDN W EPH YOUR PAYMtN1_
<br /> . ___ _ 77 _ _ _ W .. ntTxht7can Express [� tflsA ❑ MasterG»rd ❑ Discover
<br /> teril Men -- . 1
<br /> Credit Cflrd Acra+ni Number E>giireiion bete
<br /> Vanfapi#4 Medics]'M ante
<br /> Signature
<br /> Pb BOX 79145
<br /> PHOENIX Al 96862.4146
<br /> 00060389109 0002199742 0000160789 9 0'-;0009
<br /> Pleasa wilts Amount Paid below
<br /> ^Cast Joaquin Pub Hlth SVC PLEA.". TtERICYC AR, INC
<br /> Public Hlth Lab-waste R,Bi M3.1 S rND 70 SQK 79145
<br /> PO BCr7c 2009 PAYMV14T VkOF,NIX AZ 85062-9245
<br /> Stockton Cil 95201-2009 710
<br /> 1rtY0it:A CuoM�r Oats: InvrlEsO Atgtount:
<br /> Number: 0002199742 NhmhOr 603810.9 03/31/2003 Amount: $i,807,A3 paid: $
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