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1187 Vanderbilt Cir. #2 <br /> California •Manteca, Ca 95337 <br /> Office: 209-239-5583 <br /> -� <br /> Coolant Service*s Fax: 209-239-6316 <br /> . INVOICE NO: 1 3 9 9 0 <br /> Name Date of Service <br /> Address <br /> Rep P.O. # <br /> City 1 E Ctat ey ip 9 S z- J .7Terms Cust# <br /> Phone G4; _ _ -7� Contact Person: <br /> • • DESCRIPTION OTY UNIT PRICE. • <br /> 110 50/50 Automotive Antifreeze a 'g �.� �', O G <br /> 120 50/50 Heavy Duty/Phosphate(Free Antifreeze) <br /> 130 Non-Diluted Automotive Antifreeze <br /> 140 50/50 Long Life Antifreeze <br /> r <br /> r <br /> 1� <br /> Tank Serial Numbers: Non Taxable Sub Total a g' p O <br /> r <br /> Taxable Sub Total <br /> Tax <br /> TOTAL DUE ;)T O G <br /> Customer Authorization: - ` , ` �---- Date: -�'��'GZ'X <br /> CCS Representative:_ � �' �t� Date: `f 31 'O 2 X <br /> All returned checks are subject to a$15.00 Servjce Charge. <br /> All amounts not paid within 30 days of invoice are subject tot 1r40/b interest per month,1840 annually on unpaid balance. _ <br /> INVOICE NO: 113990 <br /> HAZARDOUS WASTE RECEIPT MANIFEST DOCUMENT NUMBER <br /> 6, o 771 _`7 -7 7 <br /> GENERATOR'S NAME&MAILING ADDRESS GENERATOR'S U.S.EPA ID NO. <br /> 7 /1 V CONTACT PERSON PHONE NUMBER <br /> v�. � y G 9- a? --7.57 i <br /> TRANSPORTER'S NAME: CALIFORNIA COOLANT SERVICE TRANSPORTER'S U.S,,EPA ID NO. <br /> 1187 VANDERBILT CIR#2 CAR 000047167 <br /> MANTECA, CA 95377(209)2395587 <br /> WASTE NAME:...................................................Waste Anti-Freeze AUTHORIZED WASTE FACILITY: ARTESIAN OIL REQ0V*1ERY <br /> CLASSIFICATION:................................................Non RCRA Waste 2306 MAGNOLIA ST. <br /> ID#:......................................................................................#342 OAKLAND,CA 94607(510)8394234 <br /> SIGJ4ATURE AND DATE QUANTITY WASTE FACILITY U.S.EPA ID NO. <br /> � �� r�7'-c�� '�*'!J,r CAL 000233905 <br />