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1 r III III, IV■ VI I,! NI�IVIII ■IICU I V <br /> SNFtifr!}�,r,,s�•_�W'�•..vtwtw.�n<*,n+�,-.... 7 • <br /> .187 Vanderbilt Cir. #2 <br /> California <br /> #` t Manteca, Ca 95337 <br /> Coolant Services Office: 209-239-5587 <br /> Fax: 209-239-6316 <br /> r. INVOICE NO: 6182 <br /> Name Date of Service <br /> ddress epL P.O. # <br /> City " jc teff Zip _S Terms � C� ust# <br /> Phone Contact Person: <br /> CODE DESCRIPT • OTY UNIT PRICE AMOUNT <br /> 110 50/50 Automotive Antifreeze ; <br /> 120 50/50 Heavy Duty/Phosphate(Free Antifreeze) „ <br /> ' 1 ;1: 130 Non-Diluted Automotive Antifreeze <br /> y, 140 50/50 Long Life Antifreeze <br /> g7� <br /> rhe r r" <br /> ZO �s^ TG^i' / / Y G <br /> � <br /> nJN Tank Serial Numbers: Non'Taxable Sub Total <br /> o ., Taxable Sub Total <br /> 4 J', Fh <br /> 4M� <br /> C Tax <br /> { <br /> TOTAL DUE <br /> Customer Authorization: X Date: <br /> i <br /> CCS Representative: T X Date: /G -9' �X <br /> All returned checks are subject to a$15.00 Sery a Charge. I <br /> All amounts not paid within 30 days of invoice are subject tot 1h% Interest per month,18%annually on unpaid balance. <br /> vwrrw•..r..+.�.�.nVrrwr+r.rrr+rrrwrr+wrr7r'�rrrw v rrL ars�s'a'arL����...� <br /> tr INVOICE NO: s <br /> r,HAZARDOUS WASTE RECEIPT MANIFEST DOCUMENT NUMBER <br /> :: i S� <br /> ERATOR'S NAME&MAILING ADDRESS GENERATOR'S U.S.EPA ID NO. <br /> 7- /d Z, <br /> CONTACT PERSON PHONE NUMBER <br /> 7C � lc7cn/ � 4L' c�G1 <br /> TRANSPORTER'S NAME: CALIFORNIA COOLANT SERVICE TRANSPORTER'S U.S.EPA ID NO. <br /> 1187 VANDERBILT CIR#2 CAR 000047167 <br /> MANTECA, CA 95377(209)2395587 <br /> WASTE NAME:...................................................Waste Anti-Freeze AUTHORIZED WASTE FACILITY: THERMO FLOW <br /> CLASSIFICATION:................................................Non RCRA Waste 4000 ARCATA WAY <br /> ID#:......................................................................................#342 N.LAS VEGAS,NV 89030 <br /> 702 642-9994 <br /> I SIGNATURE AND DATE QUANTITY WASTE FACILITY U.S.EPA ID NO. „4 <br /> NVR000001925 <br />