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At ENVIROPUR VILEST CORPORATION <br /> g1 _31 57 <br /> 13331 N. Hwy 331 P.O. Box 1167 STATE MANIFEST# <br /> �! USED OIL HAULER# 86-050 <br /> Patterson, CA 95363 EPA# CAD083166728 <br /> 269 892-6742 1 840) 874-4444 HAZARDOUS WASTE <br /> ( ( HAULER REG# 2591 <br /> INV.# 75828 <br /> INTERVAL DATE= <br /> - p £R T0.UCK1 L.T <br /> C HAM! <br /> 5W <br /> 5 — T <br /> s R BILLING ADDRESS IF DIFFERENT E CASH <br /> / L.(� <br /> T ADDFF 7 t'� T R NET 1D DA <br /> M CITY STATE DP PHONE CrrY STATE ZIP S <br /> R <br /> • PLEASE PAY FROM THIS INVOICE • <br /> PRODUCT GALLONS HOURS RATE AMOUNT <br /> HAZARDOUS WASTE OILIJC� a <br /> TEST FEE <br /> HAZARDOUS WASTE <br /> HOURLY CHARGES <br /> I <br /> I certify amount sh wn a ve t be correct. r <br /> ( to r Signature) (Driver Si ature) <br /> PAYMENT DUE UPON RECEIPT OF INVOICE.A service charge of 1!/, per month shall be charged TOTAL CHARGES <br /> on all past due accounts. In the event this account becomes delinquent and it is necessary to institute <br /> legal proceedings,purchaser agrees to pay reasonable attorney's fee and court costs. <br />