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t <br /> t <br /> PRC PATTERSON, INC. <br /> #(3 - <br /> DBA Refineries Service STATE MANIFEST#�_2-q3 <br /> 4'4 13331 N. Hwy 33/ P.O.Box 1167 USED OIL HAULER# esoso <br /> �� D--•ms's Patterson, CA 95363 EPA# CAD083166728 <br /> /� /R �}/ <br /> *Cgs^t° HAZARDOUS WASTE <br /> 10fl nI IEe7 CER////�C (209) 892-6742/(800) 674-4444 HAULER REG# 2591 <br /> e7 sT l'I�/G � ��//-�� NV.# 6 0 ) ' <br /> DATE <br /> D IVE TRUCNF <br /> G xAnrE � (' <br /> U S T <br /> S BALING ADDRESS IF DIFFERENT E CASH <br /> T <br /> M M NE 70 D <br /> CIT7 IS <br /> STA E ZIP vHOxE DRY STATE ZIP S <br /> E �� (, a <br /> E <br /> • PLEASE PAY FROM THIS INVOICE <br /> PRODUCT GALLONS HOURS RATE AMOUNT `� <br /> HAZARDOUS WASTE OIL /J� { �r ,v <br /> TEST FEE <br /> HAZARDOUS WASTE <br /> HOURLY- CHARGES <br /> I certify arnourtit sIZ, above to be correct. ��• <br /> (Customer Signature) (Driver Signature <br /> PAYMENT DUE UPON RECEIPT OF INVOICE.A service charge of i z%per month shall be charged TOTAL CHARGES z '1 <br /> on all past due accounts. In the event this account becomes delinquent and it is necessary to institute - Jr <br /> legal proceedings,purchaser agrees to pay reasonable attorney's fee and court costs. <br /> SSINVMMP91 WRITE'.CWIGRIP CANARY,Alphabellcal PINK.Numenc GOLDENROD'.FA - <br />