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t <br /> I <br /> IemNbOr ' INVOICE t <br /> Invoice No 1002430556 <br /> 42Longwater Drly <br /> P.O.Box 9K9 <br /> Norwell,MA 02061-9149 <br /> REMIT TO: OFFICE: <br /> Clean Harbors Env.Services Clean Harbors Environmental Services.Inc. <br /> PO Box 3442 2550 Del Monte St <br /> Boston.MA 02241-3442 West Sacramento,CA 95691 <br /> (916)520-3620 <br /> you ham any questions regarding ihlsInvoice.pfease coofaci yourcusrome <br /> service re resentalive at the telephone number tilled aboyal <br /> Eric Burnett JOB SITEIGENERATOR: <br /> Palrlot Environmental Services CH Robinson <br /> PO Box 1091 1000 E Roth Rd, <br /> Long Beach,CA 90801-0000 Lathrop,CA 95231 <br /> EIN:04-2698999 <br /> Job Description:Drum Shipment •`Payable In USD funds" <br /> Last Service Date Invoice No Customer Branch Sales Order Purchase Order <br /> 09 Jul 2018 1002430556 PA000020 7.1 1803399508 POI I-18-00213 Net 30 Days <br /> SUMMARY BY LINE TYPE <br /> Disposal $306.00 <br /> Fees $68.40 <br /> Transportation $0.00 <br /> E-Manifest Fee $10.00 <br /> SUBTOTAL $384,40 USD <br /> TAX $0.00 USD <br /> INVOICE TOTAL $384.40 USD PLEASE PAY THIS AMOUNT <br /> DUE DATE 26 Aug 2018 REMIT PAYMENT BY <br /> DescriptionManifest Itern ID Info • • Qty U0N1 <br /> 09 Jul 2018 \ <br /> 015482314JJK DISPSL 1 Debris Contaminated w/Oil 3 DM 3-000DM102.0000 $306.00 <br /> 1 CNO CH1676393 l <br /> FEE-DOWN California Hazardous Waste Landfill Fee 0.183 T 23.2900 54.26 <br /> (State Haz or Asbestos) <br /> FEE-DOWN Kem County Hazardous Waste Fee 229.500 % 0.1000 $22.95 <br /> HUBTRANS Freight to manifested disposal facility 3.000 EA 0.0003 S0.00 <br /> EMANIFEST E-Manifest Fee 1.000 EA 10.0000 $10.00 <br /> FEE Recovery Fee 343.210 EA 0.1200 $41.19 <br /> SUBTOTAL $384.40 <br /> TAX $0.00 <br /> TOTAL $384.40 <br /> Interest will be charged at a rate of 1.5%per month for all past due amounts. <br /> Invoice Date:26 Jul 2018 PLEASE RETURN A COPY OF INVOICE WITH PAYMENT-THANK YOU Pagel of 1 <br />