Laserfiche WebLink
CALIANIA11$7 <br />COOLANT SERVICE <br />VANDERBILT CIR. #2 <br />MANTECA, CA 95337 <br />"YourCaliforniaAntifreeze Service Company" <br />OFFICE: 209-239-5587 <br />900 Cherokee Lane <br />FAx: 209-239-6316 <br />Lodi' CA 95240 <br />INVOICE NO: 42538 <br />Customer <br />MANIFEST DOCUMENT NUMBER <br />Cherokee Smog (Ki-iiE <br />(aE IS NAME & MAILING ADDRESS <br />R R =� <br />900 Cherokee Lane <br />WASTE NAME .......... Non RCRA Hazardous / Waste Anti -Freeze <br />Lodi' CA 95240 <br />209-365-9834 <br />1900 S. Cherokee L.aw) <br />Invoice Date: /11-7 C'ustamer* 2449 Tet` isr <br />Due on Iw 'Louie Machado P <br />CODE DESCRIPTION <br />QTY UNIT PRICE AMOUNT <br />TRANSPORTER'S NAME: CALIFORNIA COOLANT SERVICE <br />209.335-90834 <br />Contact P L�.&tl. 141aryyDf~nn"'s <br />1187 VANDERBILT CIR#2 <br />i--; <br />COS- 50/59 X <br />MANTECA, CA 95377 (209) 239-5587 <br />U.S. EPA ID NO. <br />_.-.TRANSPORTER'S <br />a,F:J i <br />ola sle Antifreeze Pick ISP <br />CUSTOMERS Sid PRINT/ DATE <br />AUTHORIZED WASTE FACILITY: <br />NU -SET INDUSTRIES <br />977 SOU* 700 WEST <br />SALT LAKg CITY, UT 84104 801 977-0220 <br />DRIVE!S SIGN 0 NAD TE <br />GALLONS <br />WASTE FACILITY U.S. EPA ID NO. <br />__ ._, . __._:: <br />_ <br />UTD 982 589 459 <br />Tank Serial Numbers: <br />A <br />Non Taxable Sub Total <br />mm <br />the unluma at quantity and toxicity of the hazardous <br />ojaite <br />Taxable Sub Total <br />$ s <br />oA ;ssa�c i .t 9d�y+ 9t�?e 3lG,; l ►,e. (seal[on code 25160,2 h,4 <br />h) <br />Tax <br />TOTAL DUE <br />/-7� _ <br />Customer Authorization: _ X Date: X <br />CCS Fppre <br />X Date: �' % X <br />lel' efurned rke�ar9'su6lect-Io.a $15.00 Service Charge ' <br />s not pai yvittrift16 days of invoice are subject to 1 1/z% Interest per month,, 18%annually on un id balance. <br />INVOICE NO: 42538 <br />HAZARDOUS WASTE RECEIPT <br />MANIFEST DOCUMENT NUMBER <br />(aE IS NAME & MAILING ADDRESS <br />R R =� <br />WASTE NAME .......... Non RCRA Hazardous / Waste Anti -Freeze <br />CLASSIFICATION Non RCRA Waste <br />1900 S. Cherokee L.aw) <br />ID# ...................................................................................... #134 <br />Lodi, CA 95240 <br />TRANSPORTER'S NAME: CALIFORNIA COOLANT SERVICE <br />209.335-90834 <br />Contact P L�.&tl. 141aryyDf~nn"'s <br />1187 VANDERBILT CIR#2 <br />PA °A CAI 0300 300, 647 <br />MANTECA, CA 95377 (209) 239-5587 <br />U.S. EPA ID NO. <br />_.-.TRANSPORTER'S <br />CAR 000047167 <br />CUSTOMERS Sid PRINT/ DATE <br />AUTHORIZED WASTE FACILITY: <br />NU -SET INDUSTRIES <br />977 SOU* 700 WEST <br />SALT LAKg CITY, UT 84104 801 977-0220 <br />DRIVE!S SIGN 0 NAD TE <br />GALLONS <br />WASTE FACILITY U.S. EPA ID NO. <br />__ ._, . __._:: <br />_ <br />UTD 982 589 459 <br />