Receipt for VSQG Appointment

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 / Zip Code san mateo 94402 EPA ID#
Telephone 650-655-6217 Billing Street
Email wwon@smcgov.org Billing City/State ,  
Materials to be disposed

Material
Number of
Containers
Container
Type/Size
Waste
Quantity
Waste
Units
Cost
  1.  Household Batteries (Recyclable) 2 lbs $0.00
  2.  Inorganic Base 3 gal $0.00
  3.   $0.00
  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
 
Processing Cost 
$25.00
Total Weight: 2.00 lbs
Total Gallons: 3.00
Total Cost  $25.00