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INVOICE NO: 034258 <br /> HAZARDOUS WASTE RECEIPT MANIFEST DOCUMENT NUMBER <br /> GENERATOR'S NAME & MAILING ADDRESS WASTE NAME .......... Non RCRA Hazardous/Waste Anti-Freeze <br /> CLASSIFICATION............................................... Non RCRA Waste <br /> Broadbase-Jiffy Lube#2322 ID# .............................................................................................#134 <br /> 500 Kettieman lane TRANSPORTER'S NAME: CALIFORNIA COOLANT SERVICE <br /> Lodi, CA 95240 1187 VANDERBILT CIR#2 <br /> 209-33M900 MANTECA,CA 95377(209)239-5587 <br /> CQ,ntad Person: Jamie TRANSPORTER'S U.S. EPA ID NO. <br /> BPA*. GA,I. 000 182 846, CAR 000047167 <br /> CUSTOMERS SIGNATURE/ PRINT/DATE r -^� AUTHORIZED WASTE FACILITY: THERMO FLUIDS,INC. <br /> 4000 ARCADA WAY <br /> T) ` N.LAS VEGAS,NV 89030 <br /> DRIVERS SIGNATURE AND DATE GALLONS WASTE FACILITY U.S. EPA ID NO. <br /> f�� - f/� : <br />