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6 <br />WORLDWIDE <br />E RECOVERY <br />SYSTEMS, INC. <br />2621 GREEN RIVER RD. # 105, PM13 226, CORONA, CA 92882-7454 <br />PHONE: 909-597-2999 FAX: 909-597-2995 <br />Date: <br />7 A <br />" 14 <br />1111FCT197��� <br />Tech: ///,.//" /J"/ -- <br />invoice <br />Map Page: Tickle- IS <br />Contact Name: Ext: <br />Hours of Operation: <br />AMA <br />Customer Name: <br />Unit Type <br />Serial # <br />Customer Bill To: 1 V,' <br />Last <br />Service <br />Product Description <br />- <br />Tx <br />Total Cost_ <br />Address: ddress: <br />Cit y i, lm,l <br />!?I 1,Tl i,!)r it z1 1 <br />State r zip <br />city <br />State zip <br />Phone: <br />EPA ID No: t t rr, a r <br />Phone: <br />Fax <br />Q Veolia <br />1704 W. Frist St. <br />&use, CA 91702 <br />D008302903 <br />eAA Sydcl <br />1925 S. Factor Ave. <br />Yuma, AZ 85365 <br />AZR000501 610 <br />El Siemens <br />5375 South Boyle Ave. <br />Vernon, CA 90058 <br />CAD097030993 <br />L3 Demenno/Kerdoon <br />2000 N. Alameda St. <br />Compton, CA 90222 <br />CAT080013352 <br />Q K -Pure Waterworks <br />8910 Rochester Ave. <br />Rancho Cucamonga, CA 91730 <br />CAR000019943 <br />LJ Phibro Tech, Inc. <br />8851 Dice Rd. <br />Santa Fe Springs, CA 90670 <br />CAD008488025 <br />L1 Rineco <br />1007 Vulcan Rd -Haskell <br />Benton, AR 72015 <br />ARD981057870 <br />El AERC <br />1475 Crocker St. <br />Hayward, CA 94544 <br />CAD982411993 <br />Q Industrial Service Oil <br />1700 S. Soto Street <br />Los Angeles, CA 90023 <br />CAD099452708 <br />L3 U.S. Ecology <br />Highway 95,11 mi Beatty <br />Beatty, NV 89003 <br />NVT33001 0000 <br />Ll Western Environmental <br />62-150 Gene Waimea Drive <br />Mecca, CA 92254 <br />CAR000157206 <br />Waste <br />State Code <br />Mainfest# Quantity <br />U Waste Oil 221 <br />U Antifreeze 134 <br />Ll Oily Water 223 <br />C3OTHER <br />Unit Type <br />Serial # <br />Service <br />Term <br />Last <br />Service <br />Product Description <br />Qty. Unit Cost <br />Tx <br />Total Cost_ <br />!?I 1,Tl i,!)r it z1 1 <br />/-A <br />LJ PLEASE PAY FROM THIS INVOICE U Send Invoice First Termt+ <br />Special Instructions: <br />1: r"..;, pi, 17 Rj <br />Check # <br />Customer Credit Card <br />We Accept Visa & Mastercard <br />Date: A service charge of 1 1/2% per month (but not exceeding the lawful Card # <br />Driver Signature* applicable rate) will be added to all accounts not paid within the specified <br />Exp. Date <br />terms. Collection costs, including attorney fees, will be added to past due <br />Sales tax <br />Invoice Total <br />Amount Received <br />Balance Due <br />