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Invoice#: 179696 "ALL WASTE OILS.__,LE RECYCLED IN ACCORDANCE <br /> 11970 I-80 East RDO WITH ALL REGULATORY AGENCIES" <br /> Sparks,Nevada 89434NEVADA CONTRACTORS LIC.NO.0032271 <br /> Reno Drain Oil Service E.P.A.No.NVD980893663 <br /> Phone(775)342-035 IENVIRONMENTAL SPECIALISTS Nevada Hazardous Materials Hauler Permit No.02507 <br /> California Hazardous Waste Hauler Permit No.0531 <br /> FAX(775)342-0202 www rdoenvironmentaLcom Califomia Hazardous Materials Hauler Permit No.0531 <br /> BILL TO: Account# JARS-002 _- PaymentType: CHARGE <br /> JOSE'S AUTO REPAI STOCKTON_ job Location: <br /> (209) 547-0639 JOSE'S AUTO REPAIR/STOCKTON <br /> - -- - <br /> 10 N. E_ST _ 10 NORTH E STREET -----Customer EPA. #: CAL000267683 <br /> STOCKTON CA 9520 STOCKTON,CA 95205 Manifest#:011847290JJK <br /> Driver: Truck#: 66 _Time In:5:05 PM Time Out: 5:25 PM <br /> Service Product Quantity Price Sub Total <br /> FLAT FEE SER CHARGE: SERVICE CHARGE 1 $75.00 I_ $75.00 <br /> PICKUP USED OIL USED OIL-CODE 221 100 $0.00 = $0.00 <br /> PICKUP ANTIFREEZE ANTIFREEZE CODE 343 30 $0.00 = $0.00 <br /> PLEASE PAY FROM T S INVOICE TOTAL CHARGES $75.00 <br /> PAYMENT DUE AT TIM OF SERVICE UNLESS PRE-ARRANGED Amount Paid <br /> P.O.# Ceck# Cash Balance Due <br /> TERMS: 10 days net. A finance harge of 2%per month(24%per annum)will be charged on past due accounts. Customer agrees to <br /> pay collection fees if required fo collection and reasonable attorneys fees in the event of legal action. <br /> RENO DRAIN OIL SERVI E RESERVES THE RIGHT TO RETURN ANY AND ALL MATERIALS PICKED <br /> UP THAT HAVE NOT BE N PAID FOR. <br /> GENERATORS CERTIFIC TION: I hereby declare that the contents of this consignment Non-hazardous: <br /> are fully and accurately descr bed above. Customer has done a hazardous waste Hazardous: <br /> determination in accordance ith 40 CFR Part 262.11 and determines this waste to be: <br /> Customer's Initials: <br /> In accordance with the Cal ifo is Health and Safety Code 25160.2,the generator hereby certifies that the generator has <br /> established a program to redu a the volume or quantity and toxicity of the hazardous waste to the degree,as determined <br /> by the generator,to be econo ically practicable. <br /> Customer's Name(print): -_^.- (signature):_ <br /> Sales Person (RDO): _ _- <br /> 1/20/2016 Page 1 of 1 Trick# 66 <br />