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FRI <br /> DERBILT <br /> CALI, vRNIA COOLANT SERVICE MAN CA CA 953137#2 <br /> "YourCalifoinia Antifreeze Service Company" OFFICE: 209-239-5587 <br /> FAx: 209-239-6316 <br /> INVOICE NO: 16824 <br /> tvbnkeys RV, Inc. <br /> 248 S.Airport <br /> I�lanteca, CA 95337 <br /> 200-239-9571 <br /> IdW 05 e Date: �' 7��� Customer#: 1423 Terms: Due on Rep* Louie Machado PO* <br /> 120 Ready Fil 50/50 vWenray 2792 r�o <br /> 050 Waste Antifreeze Pick-Up <br /> N <br /> Tank Serial Numbers: (Y; <br /> Non Taxable Sub Total <br /> J <br /> Taxable Sub Total <br /> Tax <br /> TOTAL DUE '2 <br /> 60 <br /> . <br /> Customer Authorizatio - i ` _ 9�,,X Date: 03X <br /> —} <br /> CCS Representative: X Date: c/'' 7- y-j X <br /> All returned checks are subject_fo a$1i'5.'00 Service harge. <br /> Allamounts not paid within 30 days of Invoice are subject to 1 1/2%interest per month,18%annually on unpaid balance. <br /> INVOICE NO: <br /> HAZARDOUS WASTE RECEIPT MANIFEST DOCUMENT NUMBER <br /> 77Z <br /> GENERATOR'S NAME & MAILING ADDRESS WASTE NAME ...................................................Waste Anti-Freeze <br /> CLASSIFICATION............................................... Non RCRA Waste <br /> h4onkeySRV, Inc. ID# .............................................................................................#342 <br /> 248 S.Airport TRANSPORTER'S NAME: CALIFORNIA COOLANT SERVICE <br /> ItiIanteca, CA 95337 1187 VANDERBILT CIR#2 <br /> 209-239-9571 _ MANTECA,CA 95377(209)239-5587 <br /> Contact Person: David TRANSPORTER'S U.S.EPA ID NO. <br /> ��Q 0,00-7 <br /> d�� � � � CAR 000047167 <br /> C <br /> AUTHORIZED WASTE FACILITY: THERMO FLOW <br /> 4000 ARCATA WAY <br /> N.LAS VEGAS,NV 89030 <br /> (702)642-3994 <br /> DRNEF� 'SI ATURE D DATE QUANTITY WASTE FACILITY U.S.EPA ID NO. <br /> / I�C�. �� NVR 000001925 <br /> 2.85- <br />