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INVOICE NO: 4 3 l b 2 <br /> HAZARDOUS WASTE RE EIPT MANI T DOCUMENT NUMBER <br /> GENERATOR'S NAME& MAILING ADDRESS WASTE NAME...........Non RCRA Hazardous/Waste Anti-Freeze <br /> CLASSIFICATION .............................................. Non RCRA Waste <br /> Broadbase -.iffy Labe#2322 ID# ............................................................................................#134 <br /> 500 Keffleman Lane <br /> A <br /> Lodi, CA95295240 TRANSPORTER'S NAME: CALIFORNIA COOLANT SERVICE <br /> 209-339-0900 1187 VANDERBILT CIR#2 <br /> Contact Peman: Jamie MANTECA,CA 95377(209)239-5587 <br /> EPA* CAL 000 182 645 TRANSPORTER'S U.S.EPA ID NO. <br /> CAR 000047167 <br /> CUSTOMERS SIGNATURE/PRINT/DATE AUTHORIZED WASTE FACILITY: <br /> NU-SET INDUSTRIES <br /> % 977 SOUTH 700 WEST <br /> SALT LAKE CITY,UT 84104 (801)977-0220 <br /> DRIVERS SIGNATURE AND DATE % ' GALLONS WASTE FACILITY U.S.EPA ID NO. <br /> UTD 982 589 459 <br />