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"R PRC PATTERSON, INC. <br /> DSA Refineries Service STATE MANIFEST <br /> * USED OIL HAULER# 86-050 <br /> — 331 P.O.Box 1167 <br /> rm. g — 13331 N. Hw <br /> 'o �; � 1 Pa"erson, CA 95363 EPA CAD083166728 <br /> �o° (269) 892-67421(800) 874-4444 HAZARDOUS WASTE <br /> HAULER REG# 2591 <br /> /'j /,Y li ci7 irt7�r tib _ INV.# 60467 <br /> DATE <br /> DRq R � ROCKS <br /> C NAME �, r <br /> SBILLING ADDRESS IF DIFFERENT E CASH <br /> T AODREs <br /> O <br /> CrSY 5T F+ L -' ' ✓ CITY STAfiE ZIP $ NET 1(yD <br /> E 1 ! 1 PO# <br /> R <br /> • PLEASE PAY FROM THIS INVOICE • <br /> PRODUCT GALLONS HOURS RATE AMOUNT <br /> HAZARDOUS WASTE OIL <br /> TEST PEE f <br /> HAZARDOUS WASTE <br /> HOURLY CHARGES <br /> I certify amount shown above a correct. <br /> (Customer Signature} <br /> (Diver Si nature} <br /> PAYMENT DUE UPON RECEIPT OF INVOICE.A service charge of 1 %per month shat§be charged TOTAL CHARGES <br /> on ali.past due accounts. In the event this account becomes delinquent and it is necessary to Institute <br /> legal proceedings,purchaser agrees to pay reasonable attorney's fee and court costs. <br /> RSINVMMP91 WHITE:Cuslomer CANARY:Alphabetical PINK:Numslic GOLDENROD:File <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br /> <br />