Harbor-UCLA Medical Center PO-HH-26995004

RO WRO 300H 115V,60HZ ITEM#: W3T577585; KIT SAMPLE 2oz BOTTLE W/FORM, D&D ITEM#: W3T578231; PORTABLE RO SYSTEM ORIENT...

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RO WRO 300H 115V,60HZ ITEM#: W3T577585; KIT SAMPLE 2oz BOTTLE W/FORM, D&D ITEM#: W3T578231; PORTABLE RO SYSTEM ORIENTATION ITEM#: W3TSP7169; LABOR BILLING ITEM#: W3TSP4146; FREIGHT ITEM#: W2T801602; FUEL/ENERGY SURCHARGE ITEM#: W3TSP4276 REF QUOTE#: 06740430-2 SITE LOCATION: HARBOR UCLA MEDICAL CENTER 1000 W. CARSON ST. TORRANCE, CA 90502 DEPT CONTACT: MARIA MENDOZA @ 424-306-7890 EMAIL: mcorona@dhs.lacounty.gov VENDOR CONTACT: RICHARD BENNER @ 719-9339-7276 EMAIL: Richard.benner@xylem.com REFERENCE PO# ON ALL INVOICES AND FORWARD TO: GHXODAP.LACOUNTY@NA.FIRSTSOURCE.COM ========================= FOR INTERNAL USE ONLY BUYER NAME: LAURALIE TECSON GHX REQ: 805-26104 UNIT: 77411 REQUESTOR OR END: MARIA MENDOZA CUSTODIAN NAME: JASON BLACK CUSTODIAN UNIT: HUCLA NURSING FOR WAREHOUSE ONLY: CAPITAL ASSET EQUIPMENT TERMS AND CONDITIONS IN ACCORDANCE WITH MA-IS-2640203.