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�---T PRC PATTERSON, INC. <br /> �. PRC <br /> �� DBA Refineries Service STATE MANIFEST# <br /> _ 13331 N. Hwy 33/P.O.Box 1167 USED OIL HAULER# 86-050 <br /> Lac - EPA# CAD083166728 <br /> �1 Opo Patterson, CA 95363 <br /> /�ff,NER�La7/�Cc Q'/r (209) 892-6742/ (800) 874-4444 HAZARDOUS WASTE <br /> 11 �7c EI7 rl`jE HAULER REG# 2591 <br /> S� "l 0 9 <br /> INV.# c_ ' � <br /> DATE <br /> DRI J T CKM 1CF <br /> `. NAME ' f L I <br /> E CASH <br /> S `" BILLING ADDRESS IF DIFFERENT <br /> T ADORE-.S ,/ R / <br /> O 5 l�l�� M NETtODA t � `1` <br /> M - PHONE CRY STATE ZIP S <br /> E C1 TA-[ ZIP i, PO# 7 <br /> R /7 PJJ'�c <br /> • PLEASE PAY FROM THIS INVOICE - <br /> PRODUCT GALLONS HOURS RATE AMOUNT <br /> HAZARDOUS WASTE OIL <br /> TEST FEE <br /> HAZARDOUS WASTE <br /> HOURLY CHARGES <br /> I cert'rfy amount shown above t0 betir <br /> (Driv r ' <br /> Signature) <br /> (customer Signature) _ <br /> PAYMENT DUE UPON RECEIPT OF INVOICE.A service charge of 11/2%per month shall be charged TOTAL CHARGES <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 CANARYAlphabetical PINK:Numeric GOLDENROD:File <br />