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26 N. Cherokee Ln, Lodi, CA 95240 Record ID PRO540266 <br /> 10/14/2016 PHOTO#3 <br /> 2015 Manifest without State ID number <br /> 209-663-088 <br /> g - <br /> Ph <br /> 46-0727047 <br /> Job Site : EPA#CA L000367042 MCP.#CA 130615 <br /> LIC.AND INSURED TRANSPORTER#3468 <br /> GENERATOR <br /> Site EPA ID# Invoice No. Mil <br /> Contact Person <br /> Company Name r Bill TO <br /> J <br /> Address Name <br /> City, State, Zip Address <br /> Site Phone i City, State, Zip <br /> Date Customer PO Interval Net 30/C.O.D.lCash/Check Drivers Truck/Name <br /> / PRODUCT rite Quantity UniCode <br /> ts Price Amount <br /> CA Manifest# <br /> Nor1-RCRA Hazardous Waste Liquid(Used Oil) 221 - Gat <br /> Non-RCRA Hazardous Waste Liquid('Oil&Water) 223 Gal <br /> %XI-RCRA Hazafdous Waste Liquid(Used Automotive Antifreeze) 133 Gal <br /> Non-RCRA Hazardous Waste Solids Contaminated Dmm(s) <br /> NonaiCRA Hazardous Waste Solids Contaminated with Used Oil <br /> Drd s) <br /> Drained Used Oil lifter Drum(s) Dmmps) <br /> Empty Drum(s) <br /> Eat <br /> Transportation& Trude Time&Washout HR <br /> Hazardous Testing <br /> We pay Q Customer PaysEj <br /> Unless otherwise specified on this Consolidated Manifest Receipt(Invoice)Terms:Accounts due on the 10th of the month following Total <br /> N <br /> month of purchase Past due accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 15%per month,which is the <br /> ANNUAL PERCENTAGE RATE OF 18%. <br /> not mixed this waste with any other waste that the total halides are less then 1000 PPM,and that the waste does rvot contain <br /> hereby oertAy Utat I have <br /> to accept the additional charges for legal disposal If this, waste is over 1000 PPM,total halides,or qp <br /> Fatinah Zareef, REHS 4� Page 3 of 6 <br />