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INVOICE NO: 4 Z b ,� d <br /> HAZARDOUS WASTE RE ZIPT MANI T,DO UMENT NUMBER <br /> GENERATOR'S NAME& MAILING ADDRESS WASTE NAME........... Non RCRA Hazardous/Waste Anti-Freeze <br /> , clblsc; - My Lube*2322 CLASSIFICATION .............................................. Non RCRA Waste <br /> okl ottleman Lane ID# ............................................................................................#134 <br /> Lodi, CA 95240 TRANSPORTER'S NAME: CALIFORNIA COOLANT SERVICE <br /> 209-339-0900 1187 VANDERBILT CIR#2 <br /> Contact Person. Jamie MANTECA,CA 95377(209)239-5587 <br /> EPA* CAL 000 182 845 TRANSPORTER'S U.S.EPA ID NO. <br /> CAR 000047167 <br /> CUSTOMERS SIGNATURE/PRINT/DATE AUTHORIZED WASTE FACILITY: <br /> NU-SET INDUSTRIES <br /> j(11 j I� �' i��^�"` C-'� 977 SOUTH 700 WEST <br /> f,�� t,.(�k\' SALT LAKE CITY,UT 84104 (801)977-0220 <br /> DRIVERS SIGNATURE AND DATEGALLONS WASTE FACILITY U.S.EPA ID NO. <br /> UTD 982 589 459 <br />