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c trvet5t;%)LAOL C.A•YuV c•✓tlti IC asrc^ N VC <br /> Oak <br /> m DTS C C <br /> _ CE <br /> ' L✓� �,cu e*Department of ToxicSubstances Control S I�+� ( cc �5 �a <br /> TO: RAMIREZ BODY SHOP Date: 01/30/2023 <br /> 787 MOOSE CREEK WAY VQ Number: 202299680 <br /> GALT CA 95632-0000 FEIN: 968961871 <br /> EPA ID Number Verification Fee <br /> Total EPA ID Numbers 1 <br /> EPA ID Number Verification Fee Rate $0 <br /> * Effective 1/1/2022, Senate Bill 158 eliminated the EPA ID verification fee. Total $0 <br /> Hazardous Waste Manifest Fee <br /> Count Rate Amount <br /> Air Compliance Solvents 0 $3.50 $0.00 <br /> -Non-Recycled 0 $7.50 $0.00 <br /> Recycled 0 $0.00 $0.00 <br /> Manifest Credit $0.00 <br /> Total $0.00 <br /> * EPA ID Number Verification Fee $0 <br /> Hazardous Waste Manifest Fee $0.00 <br /> Total Due $0.00 <br /> Check Payment Credit Card Payment <br /> Please write the VQ Number on the check You are not required to submit this invoice <br /> and make payable to the Department of when paying by credit card. <br /> Toxic Substances Control (DTSC). <br /> Mail Check and Copy of Invoice to: <br /> Department of Toxic Substances Control Submit Credit Card Payment <br /> Accounting Unit <br /> PO Box 1288 <br /> Sacramento, CA 95812-1288 <br /> This Section for Department Use Only <br /> ID No: Cash ID No: Invoice No: <br /> Approved Q Not Approved Amount: Date: <br /> Check#: Check Amount: Check Date: <br /> 1256005: 12560092: 12560065:_r? mal V L' D <br /> 12560035: 1256091: 12560075: <br /> 12560096: FEB 2 3 2023 <br /> 10'NIF.NT <br />