Receipt for VSQG Appointment

Company Information
Generator Name Universal Plastics, Inc. Appointment Date 05/20/2019
Contact Person test Appointment Time 09:00:00
Street Address address Drop-off Location 32 Tower Road, San Mateo CA 94402
City / Zip Code city 94005 EPA ID# 5545477-55412-64
Telephone 650-555-1478    
Email test@test.com    
Materials to be disposed
General Material Description
Quantity
Units
Material Cost
  1.  Waste 1 3 gal Antifreeze $4.20
  2.  Waste 2 5 lbs Flammable Solids $15.00
  3.   10 each Fire Extinguishers $150.00
  4.   $0.00
  5.   $0.00
  6.   $0.00
  7.   $0.00
  8.   $0.00
  9.   $0.00
10.   $0.00
11.   $0.00
12.   $0.00
13.   $0.00
14.   $0.00
15.   $0.00
16.   $0.00
     
Processing Cost 
$25.00
Total Weight: 5.00 lbs
Total Gallons: 3.00
Total Cost 
$194.20