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PR <br />P c� PYIC PATTERSON, INC. <br />DBA Refineries Service - STATE MANIFEST#'?`7��'.'d <br />13331 N. Hwy 33 / P.O.Box 1167 USED OIL HAULER # 66-050 <br />Patterson, CA 95363 EPA # CAD083166728 <br />'`°• "`G (209) 892-67421(800) 874-4444 HAZARDOUS WASTE <br />of SPICEHAULER [RE(�G7# [ 2591 <br />{ 1rri L,r INV.# 6O35") <br />DATE <br />• PLEASE PAY FROM THIS INVOICE <br />it <br />J <br />PRODUCT <br />GALLONS <br />1 <br />'r <br />RATE <br />ESR TRIM j (� <br />I <br />HAZARDOUS WASTE OIL <br />9 „ r <br />TEST FEE <br />S <br />E <br />CASH <br />AGGRESS <br />SUING ADDRESS WQIWERE)IT I / <br />/ <br />I L. <br />j <br />4n <br />JI <br />HOURLY CHARGES <br />O <br />M <br />NET 10 DAV <br />M <br />$ <br />N <br />CF STATE 9P / PHOE _ <br />CITY STATE W . ` _ <br />I certify amount shown above to be correct. <br />ustorrer Signature) (Driver gnature) <br />PAYMENT DUE PON RECEIPT OF INVOICE. A service charge of 1%per month shall be charged TOTAL CHARGES <br />A.Imn .'.m Rnrf it is necessary to institute <br />R <br />_T_ <br />• PLEASE PAY FROM THIS INVOICE <br />it <br />J <br />PRODUCT <br />GALLONS <br />HOURS <br />RATE <br />AMOUNT <br />HAZARDOUS WASTE OIL <br />TEST FEE <br />HAZARDOUS WASTE <br />/ <br />I L. <br />j <br />4n <br />JI <br />HOURLY CHARGES <br />I certify amount shown above to be correct. <br />ustorrer Signature) (Driver gnature) <br />PAYMENT DUE PON RECEIPT OF INVOICE. A service charge of 1%per month shall be charged TOTAL CHARGES <br />A.Imn .'.m Rnrf it is necessary to institute <br />Gn at past oue m.wuuw. ��, .o o•o•••-.•--____... ____...__ . <br />legal proceedings, purchaser agrees to pay reasonable attorney's fee and court costs. <br />RSINVMMP91 WHITE. Cwta CANARY: AIPNabencal PINK: Nummc GOLDENROD: RIe <br />w) <br />i <br />