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CALIhANIA COOLANT SERYICE MANT CAA,, CA 95337#2 <br /> "Your California Antifreeze Service Company" OFFICE: 209-239-5587 <br /> FAx: 209-239-6316 <br /> INVOICE NO: 24634 <br /> Customer <br /> End of The Line Auto Repair(SRKHE97-567194) <br /> 200 Commerce/101 <br /> Lodi, CA 95240 <br /> 209-365-8077 `� <br /> hrvoke Date: / Customer#: 1862 Terms: Due on Rep. Louie IAachado PO# <br /> CODE DESCRIPTION •TY UNIT PRICE 11 AMOUNT <br /> 120 Ready FI150/50vYPenray2792 '70 <br /> 050 Waste Antifreeze Pick-Up <br /> I J� <br /> Tank Serial Numbers: Non Taxable Sub Total <br /> Taxable Sub Total ----- <br /> Tax <br /> TOTAL DUE Z LG <br /> Customer Authorization: X Date: ` X <br /> G <br /> CCS Representative: % '/ X Date: I C �_ / X <br /> All returned checks ars subject to&516:00 Servl Eharge. J <br /> Allamounts not paid within 30 days of invoice are subject to 1 112%interest per month,18%annually on unpaid balance. <br /> INVOICE NO: 24634 <br /> HAZARDOUS WASTE RECEIPT MAN EST DO MENT 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 <br /> 200 Commerce*101 TRANSPORTER'S NAME: CALIFORNIA COOLANT SERVICE <br /> , CA 95240 1187 VANDERBILT CIR#2 <br /> Lodi, <br /> MANTECA,CA 95377(209)239-5587 <br /> Corn P nn: Sharon Poteet TRANSPORTER'S U.S.EPA ID NO. <br /> CAL 000241686 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 SIGNA lJ / D DATE QUANTITY WASTE FACILITY U.S.EPA ID NO. <br /> i-< 7u l NVR 000001925 <br />