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CALIFORNIA COOLANT SERVICE MANTECAA,, CA 95337#2 <br /> "Your California Antifreeze Service Company" OFFICE: 209-239-5587 <br /> FAx: 209-239-6316 <br /> INVOICE NO: 28941 <br /> Customer <br /> End of The Line Auto Repair(SRKHE97.587194) <br /> 200 Commerce*101 <br /> Lodi,CA 95240 <br /> 209-065-6077 <br /> Invoice Date:r Customers: 1862 Terms: Due on Rep: Louie Machado PO* <br /> CODE DESCRIPTION CITY UNIT PRICE AMOUNT <br /> 120 Ready Fill 50/50 w/Fleel aurd D C, <br /> 050 Waste Antifreeze Pick-Up <br /> 7 <br /> Tank Serial Numbers: Non Taxable Sub Total <{�- <br /> i <br /> Taxable Sub Total <br /> Tax <br /> TOTAL DUE " r <br /> i <br /> Customer Authorization: X Date: --X�/ ( / <br /> CCS Representative: � 1 � � ' X Date: / <br /> 0S X <br /> All returned checks are sub) to a$16.00Service Charge. <br /> Allamounts not paid within 0 days o1 invoice are subject to 1 112%Interest per month,18%annually on unpaid balance. <br /> INVOICE NO: 28941 <br /> HAZARDOUS WASTE RECEIPT _ MANIFEST DOCUMENT NUMBER <br /> GENERATOR'S NAME& MAILING ADDRESS WASTE NAME .........:.......I...... ...............::.......Waste Anti-Freeze <br /> CLASSIFICATION............................................... Non RCRA Waste <br /> End of The Line Aldo Repair ID#.............................................................................................#342 <br /> 200 Commerce*101 TRANSPOR <br /> Lodi, CA 95240 TER'S NAME: CALIFORNIA COOLANT SERVICE <br /> VAND <br /> ILT <br /> 209-365-0077 MA TSCA,C 953 7(20 <br /> C�ontect Person: Sharon Poteet MANTECA,CA 85377(209)239 6687 <br /> EPA# CAI- 000 241 666 TRANSPORTER'S U.S.EPA ID NO. <br /> CAR 000047167 <br /> AUTHORIZED WASTE FACILITY: THERMO FLUIDS ENVIRONMENTAL <br /> 4000 ARCATA WAY <br /> N.LAS VEGAS,NV 89030 <br /> (702)642.9994 <br /> DRIVERS SIGNATURE AND DATE QUANTITY WASTE FACILITY U.S.EPA ID NO. <br /> NVR 000001925 <br />