Receipt

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Company Information
Generator Name XYZ corp Appointment Date 06/16/2021
Contact Person wes won Appointment Time 10:00:00
Street Address 32 tower road Drop-off Location 32 Tower Road, San Mateo CA 94402
City san mateo    
Zip Code 94402    
Telephone 650-655-6217    
Email wwon@smcgov.org    
EPA ID#    
Materials to be disposed
General Material Description
Quantity
Units
Material Cost
  1. batteries 2 lbs 1.8
  2. cleaner 3 gal 18
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Processing Cost 
$25.00
Total Weight: 2.00 lbs
Total Gallons: 3.00
Total Cost 
$44.80