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c-� PRC PATTERSON, INC. <br /> ' S DBA Refineries Service STATE MANIFEST# �� <br /> L_• W _ 13331 N. Hwy 33/ P.O.Box 1167 USED OIL HAULER# 86-050 <br /> 0�4"•��°� Patterson, CA 95363 EPA# CAD083166728 <br /> 1 ERNEi9/ES Sfi4U/CE (209) 892-6742/ (800) 874-4444 HAZARDOUS WASTE <br /> HAULER REG# 2591 <br /> ( ( - / INV.# 19239 <br /> WE <br /> C NAME D r RUCKM <br /> Sr J C V'`� ��- T l O <br /> ADD ESS BILLING ADDRESS IF DIFFERENT <br /> �[ CASH <br /> M ,<T � )G C 1. �k 7� R 1 <br /> E CITY STATE ZIP PHONE CRY STATE ZIP S NET 10 DAY S-Z' <br /> R I PO# <br /> • PLEASE PAY FROM THIS INVOICE • <br /> PRODUCT GALLONS HOURS RATE AMOUNT <br /> HAZARDOUS WASTE OIL v I? <br /> TEST FEE <br /> HAZARDOUS WASTE <br /> HOURLY CHARGES <br /> �, certifyMmontshown b ve to be correct. <br /> i <br /> (Cu ome Signature) (Dever Signature) <br /> PA DUE UPON RECEIPT OF INVOICE.A service charge of 1i%per month shall be charged <br /> on all past due accounts. In the event this account becomes delinquent and it is necessary to institute TOTAL CHARGES <br /> legal proceedings,purchaser agrees to pay reasonable attorney's fee and court costs. <br /> RSINVMMP91 WHITE:Customer CANARY:Alphabetical PINK:Numeric GOLDENROD:Pile <br /> � a <br /> SS <br />