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RECEIVED *wth.460@ <br /> EIROT TANK SURY CA! <br /> 3 0 20 13' INVOICE NUMBER <br /> pn �A T 1 <br /> ,NI IN AQUEOUS CLEANERS ENVIRONMEN F�LOU$TOMER NUMBER f tC%'C�%'C% <br /> 10328 EAST SIERRA AVENUE HEALTH QEPARTMENT <br /> CLOVIS,CALIFORNIA 93619-9311 - .. <br /> (559)297-0102 or(559)292-4965 <br /> EPA#CA D981690126•STATE ID#1849. 'T*eatmarrt Pit <br /> ` ,y <br /> SOLDTO; <br /> /^} ( .SHIPTO- `_"fl&SEIsCi:l it;:ii�viar KwiYr�rli <br /> f` �l�' CA7t_IWfi!{f-'17. <br /> 35251 Oki�Ftiis.e td. <br /> SfGGtiGrv� 7)S..�va YG3t:ietil'nR.�[�,'% .95239 <br /> r•" cGGaiH�G4 ? ' <br /> - i+•f ;7. <br /> PLEASE PAY BY INVOICE. Net.30 Clays; <br /> w t t <Yr-k:•. >y. ,r 'a .Ct' ,rs{a".�. '`. X S n �- �xl 115. : <br /> �., t.'.d4a o .T._fi I`f` ...'1 :r{.. . ..aL . <br /> RRNI'ALSe .. <br /> .MDSE: <br /> SRRVICfi: 60 A <br /> WASTE REMOVAL: <br /> cc sa . . <br /> MANIFEST#JrC:r .,�?I'2eF! wAST'Px - qn .5 '7 <br /> MANIFEST a���f 3 WAnE*77 <br /> MANIFEST# WASTE# Q V <br /> L RQ,Waste Caarouve Liquid,N.O.S.,8,UN 1760,Pg❑I <br /> 2. UN3082,Environmentally Hazardous Subsmnce;Liquid,N.O.S <br /> (Metal Contaminated Sludge),9,Pg III <br /> 3. Aqueous Solvent Waste•Class U Liquid Non-Nrt1s1do11 <br /> 4. RQ,Hazardous Waste,Solid,N.O.S..Class 9 NA3077,Pg IB <br /> 5. OiUWaler p dge-Class](144z.Waste N.O.S.9,Na3077,Pg in <br /> 6. Hazzardous Waste,N.O.S.,Waste Paint Related Material,UN1263,3,Pg V <br /> 7, UN3266,Corrosive Liquid,Ravin,Inorganic N.O.S.(chromium,lead),8,Pg III ' <br /> 8. Non RCRA Hazardous Waste Snlld(Oily Solids) <br /> Certlfloate W Compliance No. 1849 . <br /> Cl OESOG .. <br /> I certify that the amount shown above to be Conrad HTS Co.certifies ftldl the above waste will be <br /> transported to an autharized waste trete ent facility,in accordance,with applicable lava. <br /> Drivers Signature__ <br /> The ge-Mbor.has'established a pr69ram to reduce thei jl ;;quanbty'tind.teXiCtty of waste to <br /> a degree m be ecanomlCenty practicable: <br /> Customer Prinbed Name r•.,a „�'' z.a;; _- <br /> ` <br /> "Wituri of Customer .. . <br /> Z 'd 6626 '°N HOAdSI0 00: l 6101 '06130 <br />