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1187 VANDER13ILT <br /> r <br /> CALIFORNIA COOLANT SERVICE Mw m CA 953137#2 <br /> "Your California Antifreeze Service Company" OFFICE: 209-239-5587 <br /> FAx: 209-239-6316 <br /> INVOICE NO: 28033 <br /> Customer <br /> End of The Line Auto Repair(SRKHE97-567194) <br /> 200 Commerce*101 <br /> Lodi, CA 95240 <br /> 209-385-8077 ` <br /> i , <br /> Invoice Date: _ Customers 1862 Terms: Due on f1m Louie Machado <br /> CODE DESCRIPTIONOTY UNIT PRICE AMOUNT <br /> s <br /> J <br /> �y" 3 <br /> 050 Waste Antifreeze Pick-Up 0 <br /> Tank Serial Numbers: Non Taxable Sub Total /< j <br /> Taxable Sub Total <br /> Tax <br /> TOTAL DUE <br /> Customer Authorization: L �! X Date: X <br /> CCS Representative: <br /> X Date: X <br /> All returned checks are subject to a$15.00 Service Charge. <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: 28033 <br /> MANIFEST DOCUMENT NUMBER <br /> HAZARDOUS WASTE RECEIPT - ( y i y v <br /> GENERATOR'S NAME& MAILING ADDRESS WASTE NAME ...................................................Waste Anti-Freeze <br /> CLASSIFICATION............................................... Non RCRA Waste <br /> End of The Line Auto Repair IDs---.........................•----..----...--......--........-----•------............#342 <br /> 200 Commerce*101 TRANSPORTER'S NAME: CALIFORNIA COOLANT SERVICE <br /> I ", CA 95249 1187 VANDERBILT CIR 112 <br /> 209'385.8077 MANTECA,CA 95377(209)239-5587 <br /> Contact Person: Sharon Poteet <br /> EPA* CAL 000 241 688 TRANSPORTER'S U.S.EPA ID NO. <br /> CAR 000047167 <br /> AUTHORIZED WASTE FACILITY: THERMO FLUIDS ENVIRONMENTAL <br /> 401x)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 /> 3 �:. <br />