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rutcl nmys—ung- a..%, -t.- <br /> Waste Oil/Antifreeze Recycling gill of Lading 77909 <br /> a, CA 94510 Hazardous Waste Pickup N_B <br /> -7993 C'"" 1 1 (� / / 7 <br /> Date <br /> ;s <br /> TIRE RECYCI.ING FEE ACCOUNT NUMBER(11'APPLICABLE) DRIVE RUCK a <br /> T PILLINGADDRESS(IF DIFFERENT) h <br /> DHF_SS H <br /> O <br /> 1 <br /> �1Y STAT1:7.lP PI)a <br /> TATE ZIP P C NE <br /> k <br /> • PLEASE PAY FROM THIS INVOICE • <br /> �^ PRODUCTt,xrF AntouN•r <br /> Oil Filter Recycling <br /> 55 GALLON DRUMS of USED OIL&GASOLINE FILTERS �� b <br /> SET UP FEE(S) <br /> _l <br /> Tire Rec clin is osal <br /> USED MOTORCYCLE TIRES FOR DISPOSAL <br /> USED AUTO TIRES FOR DISPOSAL <br /> USED LIGHT TRUCK TIRES FOR DISPOSAL <br /> USED TRUCK TIRES FOR DISPOSAL 1 _ , '> <br /> USED TIRES ON RIMSUSED FORKLIFT WHEELS FOR DISPOSAL <br /> C I W M B ADMINISTRATION FEE ' C►LL <br /> FUEL SURCHARGE - - - _�~ i[I <br /> - - <br /> Other Services. { <br /> DRUM SETUPIPICK-UP METAL/POLY SIZE 5/ l5/3b!55 <br /> USED BATTERY PICK-UP - <br /> SOLID WASTE(NON HAZ) - — <br /> MINIMUM CHARGE $50.00 <br /> rertity amount shown above o correct --- — <br /> —- 7' DLJE <br /> .((r IVER S1 <br /> PAYMUPON RECEIPT OF INVOICE. A service charge of iv,,7c per month shall he <br /> Tc�t'At,CHARGES ! - <br /> charged on all past due accounts. In the event this account becomes delinquent and is necessary <br /> to institute legal proceedings,customer agrees to pay reasonable attorney's fees and court costs. <br /> mirrF:Cu,wnier CANARY:Accounting PINK:Trackine. <br />