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ENVIROPUR WEST CORPORATION <br /> AWAF13331 N. Hwy 33 / P.Q. Box 1167 STATE MANIFEST#l <br /> USED OIL HAULER# 86-050 <br /> Patterson, CA 95363 EPA# CAD08316672 <br /> (709) 892-6742 1 (800) 874-4444 HAZARDOUS WASTE <br /> HAULER REG# ��jj 2591 <br /> �/ - INV.# 7 © 952 <br /> INTERVAL DATE <br /> C NAME p VER TRUCK/ <br /> U T <br /> TADD BILLING ADDRESS IF DIFFERENT EE CASH <br /> O M NET 10 AY <br /> M CffY TA PHO E CRY STATE ZIP $ <br /> E <br /> A PO# <br /> • PLEASE PAY FROM THIS INVOICE " <br /> PRODUCT GALLONS HOURS RATE AMOUNT <br /> r <br /> HAZARDOUS WASTE OIL � 0 � <br /> TEST FEE <br /> i <br /> HAZARDOUS WASTE <br /> HOURLY CHARGES <br /> I c ifyAmount above to be correct. <br /> (customer Signature) (Driv Signature) <br /> PAYMENT DUE UPON RECEIPT OF INVOICE.A service charge of 1% per month shall be charged IO <br /> on all past due accounts. In the event this account becomes delinquent and it is necessary to institute TOTAL CHARGES -- <br /> legal proceedings,purchaser agrees to pay reasonable attomey's fee and court oosts. <br />