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' <br /> CRIFORK11 COOLANT <br /> I 1187 VANDERBILT CiR.#2 <br /> s MANTECA,CA 95337 <br /> "Your CaliforniaAntifreeze Service Company" OFFICE: 209-239-5587 <br /> FAx: 209-239-6316 <br /> INVOICE NO: 39594 <br /> I <br /> United Auto Repair (SRKHE 28-897957) <br /> 400 N. EI Dorado/ Lindsey <br /> Stockton, CA 95205 <br /> 209-941-8218 <br /> I <br /> Invoice nate: Customer* 1545 Tenns: Due on Rep: Loule Machado PO# <br /> • <br /> 120 CCS- 50/50 AT 7 7 5 <br /> 140 . Havoline Dexcool 50/50 AT <br /> I <br /> 05U Waste Antifreeze Pick'Up 0 <br /> Tan Serial N bers: <br /> Non Taxable Sub Total <br /> % Taxable Sub Total <br /> �O Tax <br /> TOTALDUE C� <br /> Customer Authorization: X Date: X <br /> U <br /> CCS Representative: � X Date: � � � X <br /> All returned checks are subject to a$15.00 Service Charge. <br /> Allamounts not paid within 30 days of invoice are subject to 1 1i2%interest per month,18%annually on unpaid balance. <br /> INVOICE NO: 39594 <br /> HAZARDOUS WASTE RECEIPT MANIFEST DOCUMENT NUMBER <br /> GENERATOR'S NAME& MAILING ADDRESS WASTE NAME...........Von RCRA Hazardous/Waste Anti-Freeze <br /> CLASSIFICATION .............................................. Non RCRA Waste <br /> UnitedAuto Repair ID# ............................................................................................#134 <br /> 400 N. EI Dorado TRANSPORTER'S NAME: CALIFORNIA'COOLANTSERVICE <br /> Stockton, CA 9552055 1187 VANDERBILT CIR#2 <br /> 209-k 1-8218 MANTECA,CA 95377(209)239-5587 <br /> Contact Person: Teddy TRANSPORTER'S U.S.EPA ID NO. <br /> EPA : CAL 000 g74-4�0 CAR 000047167 <br /> CUSTOMERS SIGNAT FIE PRINT/D/ AUTHORIZED WASTE FACILITY: <br /> NU-SET INDUSTRIES <br /> 0 977 SOUTH 700 WEST <br /> SALT LAKE CITY,UT 84104 (801)977-0220 <br /> DRIVERS S G A U BIND7TE _ GALLONS y <br /> � WASTE FACILITY U.S.EPA ID NO. <br /> V UTD 982 589 459 <br /> 3.05.4.75 - <br />