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�-- -a RC Z- <br /> PRC PATTERSON, INC. <br /> s DBA Refineries Service STATE MANIFEST# � s63e) <br /> = USED OIL HAULER# Bs-o5o <br /> 13331 N. Hwy 33/ P.O.Box 1167 <br /> L—• �� — EPA# CAD083166728 <br /> °&,°�•�t� Patterson, CA 95363 <br /> AEF/NEA/ES SEAQ/CE (209) $92-6742/ (800) 874-4444 HAZARDOUS WASTE <br /> HAULER REG# 2591 <br /> INV.# 19196 <br /> DATE <br /> DRIV R TRUCK <br /> C NAME <br /> C /� `J. T <br /> S BILLING ADDRESS IF DIFFERENT E CASH <br /> ADDRES z / � !\' <br /> ✓G M NET IO DA . � (�v <br /> M PHONE CITY STATE ZIP S <br /> CITY STATE ZIP Po# <br /> R 5 « I3s 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 /> r <br /> certify o s n Bove to be correct. <br /> (Driv Signature) <br /> (Custom Signature) <br /> PAY NT UE UPON R EIPT OF INVOICE.A service charge of 11/2%per month shall be charged TOTAL CHARGES =G(00 <br /> on all p st a 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 WHITECustomer CANARY:Alphabetical PINK:Numeric GOLDENROD:File <br /> 0 <br />