Laserfiche WebLink
i INVICE NO: 10 2 <br /> MANIFEST POCUMENT NUMBER <br /> HAZARDOUS WASTE RECEIPT <br /> GENERATOR'S NAME & MAILING ADDRESS WA T N .. �_ ryRCRA Hai pd" ante Anti-Freeze <br /> jj' �,,, .. ... �NonRCRAWaste <br /> CLASSIFIC I 'N..,,c �� f••• <br /> ID# .............................................................................................#134 <br /> 11 <br /> BiQadba:;e - Lube 2322 <br /> TRANSPO T ' NA I-: CALIFORNIA COOLANT SERVICE <br /> 500 Ke#tieman Lane ERS j�(J C� 1187 VANDERBILT CIR#2 <br /> Lodi, CA 95240 � MANTECA,CA 95377(209)239-5587 <br /> 20939-0900 TRANSPORTER'S U.S. EPA ID NO. <br /> Contad Person: Jamie CAR 000047167 <br /> CM000ts264 <br /> CUSTOMERS SIGNATURE/ PRINT/ DATE AUTHORIZED WASTE FACILITY: THE4000 AR ADAWFLUIDS,INC. <br /> 4000 ARCADA WAY <br /> cC N.LAS VEGAS,NV 89030 <br /> DRIVERS SIGN T RIE A D PATE GALLONS WASTE FACILITY U.S.EPA ID NO. <br /> ( �'Offj ; NVR 000001925 <br />