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VAN <br /> CIR <br /> 0 cm CALII uANIA COOLANT SERVICE MAN ECA, C 9 33 #Z <br /> MANTEca, CA 95337 <br /> 11 OFFICE: 209-239-5587 <br /> 'Your California Antifreeze Service Company- Fax: 209-239-6316 <br /> INVOICE NO: ) 7 <br /> 23 1 83 <br /> Customer <br /> End of The Line Auto Repair(SRKHE97-587194) <br /> 200 Commerce*101 <br /> Lodi, CA 95240 <br /> 209-385-8077 <br /> omer"02 T : Due on R c do <br /> CODE DESCRIPTION OTY UNIT PRICE AMOUNT <br /> 120 Ready Fill 50150 ImPenray 2792 6 <br /> 050 Waste Antifreeze Pick-Up <br /> zi <br /> r <br /> Tank Serial Numbers: Non Taxable Sub Total 7 G <br /> Taxable Sub Total <br /> Tax <br /> TOTAL DUE l . 76 <br /> Customer Authorization: X Date: !U1('(C/ X <br /> CCS Representative: X Date: C V r X <br /> All returned checks are Subject'to a-515. Se ce Charge. <br /> Allamounts not paid within 90 days of invoice are subject to 1 113%interest per month,18%annually on unpaid balance. <br /> INVOICE NO: 2 3 7 O <br /> HAZARDOUS WASTE RECEIPTMANIFEST DOCUMENT NUMBER <br /> GENERATOR'S NAME & MAILING ADDRESS WASTE NAME........:..::...................................Waste Anti-Freeze <br /> CLASSIFICATION............................................... Non RCRA Waste <br /> ID#.............................................................................................#342 <br /> End of The Line Auto Repair TRANSPORTER'S NAME: CALIFORNIA COOLANT SERVICE <br /> 200 Commerce*101 1187 VANDERBILT CIR#2 <br /> Lodi, CA 95240 MANTECA,CA 95377(209)239-5587 <br /> 209-365-6077 <br /> Contact Person: Sharon Poteet TRANSP <br /> CAR 000047167 <br /> S U.S.EPA ID NO. <br /> EPA*. CAL 000241888 CAR 0 <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 DATE7 QUANTITY WASTE FACILITY U.S.EPA ID NO. <br /> �'-((j` NVR 000001925 <br />