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1187 <br /> z CALII'ORNIA COOLANT SERVICE MA TECA, CAB953137#2 <br /> "Your California Antifreeze Service Company" OFFICE: 209-239-5587 <br /> - FAX: 209-239-6316 <br /> INVOICE NO: 18651 <br /> Prune Shine Lube A vV00 <br /> 404 VT Kettkiman Lang <br /> Lodi. CA 85240 <br /> 209-31N-9779 <br /> ictt+eir•e tete: '~ twomor 1070 Terms; Nell 10 Rsta: Lowe Wnhado PAIR <br /> CODE DESCRIPTIONAMOUNT <br /> f� <br /> 110 Iv ufl Force 54/50 AMii't'eeze <br /> 050 Waste Antifreeze PiekAJp <br /> Tank Serial Numbers: Non Taxable Sub Total <br /> Taxable Sub Total <br /> Tax ---- <br /> TOTAL DUE ` I <br /> Customer Authorization: �� X Date: - X <br /> CGS Representative:_ X Date: X <br /> All returned checks are subject 00 Se ,C <br /> Allamounts not paid within 30 days of invoice subject to 1 its°.interest per month,18%annually on unpaid balance. <br /> INVOICE NO: 18651 <br /> HAZARDOUS WASTE RECEIPTMANIFEST DOCUMENT NUMBER <br /> GENERATOR'S NAME& MAILING ADDRESS WASTE NAME ...................................................Waste Anti-Freeze <br /> CLASSIFICATION............................................... Non RCRA Waste <br /> Primp Shim tube&Wash ............................................4342 <br /> 301 W.Kettieman'Lame <br /> Lodi. CA 96240 � TRANSPORTER'S NAME: CALIFORNIA COOLANT SERVICE <br /> 209-•368-9778 1187 VANDERBILT CIR#2 <br /> MANTECA,CA 95377(209)239-5587 <br /> ��t1t�C� P�f'Sil7t7:Austin �Ipl4t'TO <br /> EPA* CAL 000212458 TRANSPORTER'S U.S.EPA ID N0. <br /> CAR 000047167 <br /> AUTHORIZED WASTE FACILITY: THERMO FLOW <br /> 4000 ARCATA WAY <br /> N.LAS VEGAS,NV 89030 <br /> % (702)642-3994 <br /> DRIVERS SIGNAT E AND DAT QUANTITY WASTE FACILITY U.S.EPA ID NO. <br /> NVR 000001925 <br /> 3i.48/ <br /> J <br />