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GOLDEN <br /> j E Environmental Services PLEASE PAY FROM THIS INVOICE . <br /> l\ Oil Reryclers <br /> \ P.O. Box 2602, Dublin, CA 94568 INVOICE <br /> (415) 833-2344 EPA ID# CAD982433989 N 1774 <br /> TERAIS: NET 7 DAYS <br /> JOB LOCATION BILL TO DA TE: <br /> NAME 6 <br /> N,4 AIE P.O. ' <br /> ADD E�S7S - ADDRESS CUSTOMER NO. <br /> CITY STATE ZIP CO CITY STATE ZIP CO PHONE NO. <br /> G 95 � /do <br /> PRODUCT MANIFEST GALLONS PRICE AMOUNT <br /> WASTE PETROLEUM OILS COMBUSTIBLE LIQUID NA1270 G <br /> HAZARDOUS WASTE LIQUID ORM8-E UN9189 <br />,.� WASTE OIL WITH 1000 PPM HALOGENS <br /> OTHER:. TED <br /> - ALVISO INCIPINOSHT 04 <br /> ' 5002 ARCHER ST.AIVISO,CA <br /> TOTAL CHARGES - <br /> I CERTIFY THA LTH,E�9 BOVF� OUNTS S INFORMATION TO BE CORREC_ <br /> DRIVER ROUTE DRIVER SIGNATURE,. CU MER SIGNATURE <br />