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Refineries %wvloo STATE MANIFIE674 <br />l\ <br />1=1 W. Hvw�331 P.O.Box 1167 USED OIL HAULER#AfjM <br />i : i1HAZARDOUS <br />• <br />HAULER REG* r. <br />-246817 <br />i DATE <br />I <br />Wit <br />00 <br />00 <br />O <br />F— <br />U) <br />m <br />N <br />V <br />Ql <br />I <br />m <br />RI <br />E <br />O <br />w <br />II <br />C <br />U <br />NAM <br />HOURS <br />RATE <br />S <br />`*'8h <br />T <br />ADO <br />DILV" A00MS8.BF DI"EKMT <br />TEST FEE <br />E CASH <br />D� 0.1 <br />R <br />M <br />M <br />ATE P E <br />CIT/ STATV ZIP <br />4T 90 DAYeZ <br />S <br />11 <br />j e� -�"M <br />�+c11 �' <br />PO 0 <br />PRODUCT <br />GALLONS <br />HOURS <br />RATE <br />AMOUNT <br />HAZARDOUS WASTE OIL <br />TEST FEE <br />®' ® <br />HAZARDOUS WASTE <br />HOURLY CHARGES <br />I certify amount shown above Correct. <br />mer sooner) (Orive r Sigma. <br />AYMENT Dtf UPON SECEIPT OF INVOICE. A serdce charge of 1%% per month shall he charged tOTAL CHARGES3� <br />on all past due mounts. In oweemt teas acoount becomes delingttwt and it is necessaryto institute <br />iegai ngs, purchaser agrees so pay reasonaota anorney-s tee ana oourt costs. <br />v <br />t.� w$ffVE:cuAww cAMAF <br />� '�--- AIAdbAid PINK! Numaeo axxOENM: No <br />re) <br />2 <br />O <br />z <br />r <br />0 <br />