Laserfiche WebLink
J <br /> 11 87VANDERBILT CIR.#2 <br /> .^ <br /> CALIPOIN-11 COOLANT SERYKE , f,=t, MANTECA,CA 95337 <br /> OFFICE:YourCaGforniaAni freeze Service Company 209 <br /> FAx: E:E: 209 9-6316 <br /> INVOICE NO: 41406 <br /> Customer <br /> United Auto Repair(SRKHE 28-897957) <br /> 400 N. EI Dorado/Lindsey <br /> Stockton, CA 95203 f <br /> 209-941-8218 <br /> 1545 : Due on : Loule Machado P <br /> �� � =� Customers �,�, $� O* <br /> CODE DESCRIPTION CITY UNIT PRICE AMOUNT <br /> QCS_50/5'0 AIF 3 G z ti <br /> r <br /> 140 Havoline Dexco61.50/50 AIF <br /> 050 Waste Antifteze Pick Up g`5 <br /> f <br /> Tank Serial Numbers: Non Taxable Sub Total <br /> Taxable Sub Total <br /> f <br /> Tax € <br /> f TOTAL DUE <br /> Customer Authorization: X Date: lez" X I <br /> , S R;eprata#i - - X Date: ze 11;7 X <br /> --Aff�Sturr�B�chere subject to a$15 00 Service Charge. <br /> ilamounts not paid within 30 days of I voice are subject to 1 1/2%interest per month,18%annually on unpaid balance. <br /> INVOICE NO: 41406 <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 /> Unked Auto Repair ID# ............................................................................................#134 <br /> 00 N. EI Dorado . TRANSPORTER'S NAME: CALIFORNIA COOLANT SERVICE <br /> Stockton,CA 95205 1187 VANDERBILT CIR#2 <br /> 209—"1-8218 MANTECA,CA 95377(209)239-5587 <br /> Contaid Person:Teddy TRANSPORTER'S U.S.EPA ID NO. <br /> SEAt'ex 000 074 459 CAR 000047167 <br /> CUSTOMERS SIGNATURE/PRINT/DATE AUTHORIZED WASTE FACILITY: <br /> NU-SET INDUSTRIES <br /> 977 SOUTH 700 WEST <br /> SALT LAKE CITY,UT 84104 801)977-0220 <br /> D IV RS8 IGNATUAE-A ND 4DLAT LLONS WASTE FACILITY U.S.EPA ID NO. <br /> y411j UTD 982 589 459 <br /> 3.25.4.75 - <br />