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ENVIROPUR WEST CORPORATION <br /> 13331 N. Hwy 33 / P.O. Box 1167 STATE MANIFEST n/t�- <br /> USE OIL HAULER# 86-050 <br /> 72 <br /> Patterson, CA 95363 EPA CAD083166728 <br /> r�)T HAZ DOUS WASTE <br /> (209) 892-6742 / (800) 8 4-4444 -t'a �RE Jj _R REG# 2591 <br /> 6 19iINTERVAL DATE <br /> CNATR. <br /> T ADDRESS r BILLING ADDRESS IF DIFFERENT ECASH <br /> R <br /> O Z / M NET 10 DAY6G <br /> MPCfTY STA ZIP <br /> CITY STATE ZIP S <br /> R S�J> <br /> �� &6PO# <br /> • PLEASE PAY FROM THIS INVOICE • <br /> PRODUCT GALLONS HOURS RATE AMOUN/`T-, <br /> HAZARDOUS WASTE OIL <br /> TEST FEE <br /> HAZARDOUS WASTE <br /> HOURLY CHARGES <br /> i <br /> I <br /> I Certify amount shown above to be c rrect. <br /> (Customer Signature) ([river Signature) <br /> PAYMENT DUE UPON RECEIPT OF INVOICE.A service charge of 1!/2%per month shall be charged TOTAL CHARGES c C)C) <br /> on all 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:Customer CANARY:Alphabetical PINK:Numenc GOLDENROD.File <br /> A/C S 1 <br /> BY <br />