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A PRC � PRC ---— <br /> PATTERSON, INC. <br /> � <br /> ■r► _ DBA Refineries Service C <br /> °o k1 13331 N. Hwy 33 A P.O.gox 1167 STATE MANIFEST#� <br /> ��""`` Patterson, CA 95363 USED OIL HAULER# 86-050 <br /> �Ef/I�E�/ES S�fAU/CE (209) 892-6742/(800) $74-4444 SPA#— —�Aw83 s72e <br /> HAZARDOUS WASTE <br /> HAULER REG#_ <br /> 2591 <br /> DATE 1 <br /> C NAME <br /> s ADDR S(A D WCK/ <br /> T / BILLING ADC-SS 1F OtFFERENT T <br /> CrrY ST TE 21P CASH <br /> E PHONE R <br /> R 7 -3 cmr srAre zea M NE DA <br /> S <br /> PO <br /> • PLEASE PAY FROM THIS INVOICE <br /> PRODUCT <br /> HAZARDOUS WASTE OIL GALLONS HOURS RATE AMOUNT <br /> TEST FEE U <br /> HAZARDOUS WASTE <br /> HOURLY CHARGES <br /> I certff ount s a to b correct. <br /> (CuS(en,er Signature) <br /> (D Iver S' nature) <br /> PAYMENT DUE UPON RECEIPT OF INVOICE,A service charge of 1 z%per month shall be charged <br /> on all past due accounts. In the event this account becomes delinquent and it is necessary to ins4tute <br /> legal proceedings,purchaser agrees to pay reasonable attorneys fee and cour.costs, TOTAL CHARGES <br /> ASINVMMP91 <br /> WHITE:custama CANARY:Adphaba*A PINK:Nurranc GOLDENROD.FIs <br />