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CALIAXIA COOLANT SERVICE <br />"Your California Antifreeze Service Company" <br />1187 VANDERBILT CIR. #2 <br />MANTECA, CA 95337 <br />OFFICE 209-239-5587 <br />FAX: 209-239-6316 <br />INVOICE NO: 67004 <br />1_2 <br />Customer Authorization: X Date: X <br />CCS Representative: X Date: X <br />A:: returned checks are subject to aAl 5._00 Service 46e. <br />A amounts not paid within 30 day§ Of invoice are sub it to 1 1/2% Interest per month, 18% annually on unpaid balance. <br />INVOICE NO: 37004 <br />HAZARDOUS WASTE RECEIPT <br />MANIFEST DOCUMENT NUMBER <br />00 S. Cherokee lade J <br />GENERATOR'S NAME& MAILING ADDRESS <br />WASTE NAME ........... Non RCRA Hazardous / Waste Anti -Freeze <br />1.1odi, CA 95240 <br />CLASSIFICATION .............................................. Non RCRA Waste <br />000 S. Cherokee Lane, <br />209-365-9834 <br />ID# ............................................................................................ #134 <br />TRANSPORTER'S NAME: CALIFORNIA COOLANT SERVICE <br />LodiGA 95240 <br />illvdice Date- <br />I <br />Custonner#- "1�40 Terms, <br />Dueon Rw­ Lunk <br />e, Machado <br />TRANSPORTER'S U.S. EPA ID NO. <br />nODE <br />DESCRIPTION <br />OTY UNIT PRICE <br />AMOUNT <br />CCS- 50160 A/F <br />V <br />AUTHORIZED WASTE FACILITY: <br />Waste Antifreeze Pick L)p <br />SALT LAKE CITY, LIT 84104 (801) 977-0220 <br />DRIVERS St.GN 11'11AND DATE <br />GALLONS <br />WASTE FACILITY U.S. EPA ID NO. <br />A 4�� X <br />UTD 982 589 459 <br />' ' <br />Tank Serial Numbers: <br />Non Taxable Sub Total <br />Taxable Sub Total <br />Tax <br />TOTALDUE <br />1_2 <br />Customer Authorization: X Date: X <br />CCS Representative: X Date: X <br />A:: returned checks are subject to aAl 5._00 Service 46e. <br />A amounts not paid within 30 day§ Of invoice are sub it to 1 1/2% Interest per month, 18% annually on unpaid balance. <br />INVOICE NO: 37004 <br />HAZARDOUS WASTE RECEIPT <br />MANIFEST DOCUMENT NUMBER <br />ZZ' <br />GENERATOR'S NAME& MAILING ADDRESS <br />WASTE NAME ........... Non RCRA Hazardous / Waste Anti -Freeze <br />(,'herokee Smog <br />CLASSIFICATION .............................................. Non RCRA Waste <br />000 S. Cherokee Lane, <br />ID# ............................................................................................ #134 <br />TRANSPORTER'S NAME: CALIFORNIA COOLANT SERVICE <br />LodiGA 95240 <br />209.-�65-9834'1— <br />Contact Pomorc., ":,flOwy Nnnis <br />1187 VANDERBILT CIR #2 <br />MANTECA, CA 95377 (209) 239-5587 <br />TRANSPORTER'S U.S. EPA ID NO. <br />CAR 000047167 <br />CUSTOMERP'SIGNATIURE / PRINT DATE V- <br />V <br />AUTHORIZED WASTE FACILITY: <br />NU -SET INDUSTRIES <br />977 SOUTH 700 WEST <br />SALT LAKE CITY, LIT 84104 (801) 977-0220 <br />DRIVERS St.GN 11'11AND DATE <br />GALLONS <br />WASTE FACILITY U.S. EPA ID NO. <br />A 4�� X <br />UTD 982 589 459 <br />' ' <br />3.0- <br />