Laserfiche WebLink
1187 VANDERsaT Cin. #2 <br /> CALIFOhAIA COOLANT SERVICE MANTECA, CA 5337 <br /> Y5587 <br /> our California Antifreeze Service Company" FAX: 209-239-6316 <br /> INVOICE NO: 2 6736 <br /> End of The Line Auto Repair iSRKHE97-587194) <br /> 200 Commerce*101 <br /> Lodi, CA 95240 <br /> 209-385-8077 <br /> invoice Date: $� r��—�j Cystomer*: 1382 Imm; Due on 82M Louie Machado PO* _ <br /> • . 19 _ • a <br /> 120 Ready Fill 50/50 val i leetilaurd D77 G <br /> /T <br /> 050 Waste Antifreeze Pick-Up <br /> _7 7 <br /> �j �U <br /> Tank Serial Numbers: Non Taxable Sub Total // Z <br /> Taxable Sub Total <br /> Tax <br /> TOTAL DUE <br /> Customer Authorization: i X Date: / /I( X <br /> ; tzX <br /> CCS Representative: :' X Date: <br /> All returned checks are subject to a 915.6d k4ce Charge. <br /> Alemounts not paid within 30 days of invoice are subject to 1 trz%interest per month,18%annually on unpaid balance. <br /> INVOICE NO: 2 f j 7 3 h-. <br /> MANIFEST DOCUMENT NUMBER <br /> HAZARDOUS WASTE RECEIPT 1 c _ 1- c <br /> WASTE NAME ...................................................Waste Anti-Freeze <br /> GENERATOR'S NAME& MAILING ADDRESS <br /> CLASSIFICATION............................................... Non RCRA Waste <br /> ID# ...........................................................................I.................#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 95249 MANTECA,CA 95377(209)239-5587 <br /> 20W05.6077 TRANSPORTER'S U.S.EPA ID NO. <br /> Contact Person: Sharon Potest CAR 000047167 <br /> EPA'IF: CAL 000 241 686 <br /> AUTHORIZED WASTE FACILITY: THERMO FLUIDS ENVIRONMENTAL <br /> 4000 ARCATA WAY <br /> N.LAS VEGAS,NV 89030 <br /> (702)642-9994 <br /> DRIVERS SIG ATURE AND DATE / QUANTITY WASTE FACILITY U.S.EPA ID NO. <br /> �y �_ NVR 000001925 <br />