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INVOICE NO: 3 6 6 11;3 <br /> HAZARDOUS WASTE RECEIPT MANIFEST DOCUMEN NUMBER <br /> � 7 <br /> GENERATOR'S NAME& MAILING ADDRESS WASTE NAME...........Non RCRA Hazardous/Waste Anti-Freeze <br /> CLASSIFICATION .............................................. Non RCRA Waste <br /> Broadbase - .JaI'fy Luba#2322 ID# ............................................................................................#134 <br /> 500 Kettieman Lane TRANSPORTER'S NAME: CALIFORNIA COOLANT SERVICE <br /> Lodi, CA 95240 1187 VANDERBILT CIR#2 <br /> 209-339-0900 MANTECA,CA 95377(209)239-5587 <br /> CQrftact Person: .Jamie TRANSPORTER'S U.S.EPA ID NO. <br /> EPA*; CAL. 000 182 845 CAR 000047167 <br /> CUST05F,BS SIGNATURE/PRINT/DATE (E' Nu-SET INDUSD WS STE FACILITY: <br /> f 977 SOUTH 700 WEST <br /> SALT LAKE CITY,UT 84104 (801)977-0220 <br /> DRIVERS IGNATURE AND DATE GALLONS WASTE FACILITY U.S.EPA ID NO. <br /> UTD 982 589 459 <br />