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PLEASE PAY FROM THIS INVOICI= <br /> /"} PI<.EASE PAY FROM THIS INVOICE <br /> Customer EPA# Date: — Customer EPA# � � �✓ Date: ®—�- -- <br /> Driver FPA#CAL.913534912 State Manifest Document# <br /> ___.. <br /> Driver EPA#CAL 913534912 5ta �to <br /> CHF'#CA88944uf _ <br /> CHP#CA88940 - <br /> SACRAMENTO WASTE OIL FILTERS SACRAMENTO WASTE OIL IL'�EI�S <br /> 4504 Dunnbury Way R Sacramento, CA 95842 <br /> 4504 Dunnbury Way • Sacramento, CA 95842 <br /> (916) 344-1434 15640 (9 6) 344-14-34 <br /> Transporters Registration No: 3130 INVOICE NO. 1 5 <br /> Transporters Registration Nn:3130 INVOICE NO. <br /> CO. NAME618 <br /> C � i� _7- PI ZONE ( ) 7 CO. NAME � '� !°�Ci� PHONE ��J�C_ <br /> ADDRESS/ _/15 , ADDRESS/ `]_ <br /> CITY / __STATE C ZIP ,,pp <br /> CITY + STATE e"l ZlP �D 1 <br /> QTY DESCRIPTION PRICE TOTAL <br /> � --- QTY DESCRIPTION PRICE TOTAL <br /> 55 gallon drum of /per 55 gallon drum of /per <br /> drained oil and gas filters drum p <br /> drained ail and gas filters drum <br /> 55 gallon drum of <br /> ail absorbent m 55 gallon drum f <br /> oil absorbant 7-D <br /> F <br /> I^�y Dr , � I <br /> _IE m y Drums PPP <br /> DESTINATION OF Service Charge <br /> OIL FILTERS —� <br /> DESTINATION OF Service Charge <br /> � OILIL FILTER � <br /> 23271 Eichler St. <br /> TOTALS TOTAL <br /> Hayward, CA 94544 23271 Eichler St. <br /> Hayward, CA 94544 <br /> Driver Signature <br /> 1 Driver S' a ure <br /> �ustar ter Skgnature F <br /> _ Ctf�tnmer Sig re <br /> Term net la ays.Finance charge of 2%per month(24%per year)on accounts not paid within 30 days. <br /> A$25.00 Fee wild be charued for returned checks. Term net 10 days,Finance charge of 2°/a per month(24%per year)on accounts not paid within 30 days. <br />