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CLEARWATER <br />ENVIRONMENTAL MANAGEMENT, INC. <br />P.O. Box 2407 UNION CITY, CA 94587-2407 <br />(800) 499-3676 FAX (510) 476-1786 <br />CAR 000 007 013 WE ACCEPT VISA & MASTERCARD <br />0111 i ftirr lKJ=nRMeTInAI = = AOR SITE <br />Bill of Lading <br />Invoice # 58278 <br />Date 6 _ Zt> --,v 'L <br />NAME <br />NAME <br />PO # CASH CHECK <br />J <br />'TL s <br />ADDRESS 104A <br />ADDRESS <br />CUSTOMER EPA ID # <br />ca -l- y <br />CITY STATE ZIP <br />CITY STATE ZIP <br />PROFILE # <br />� 3l0 <br />PHONE N0. <br />PHONE NO. <br />CUSTOMER ID NO: <br />PRODUCT PROPER WASTE <br />MANIFEST NUMBER QUANTITY UNITS <br />PRICE AMOUNT <br />SHIPPING DESCRIPTION CODE <br />Used Oil, Non-RCRA Hazardous <br />Waste, Liquid <br />221 <br />Q % <br />o-- <br />Used Automotive Antifreeze, Non-RCRA <br />Hazardous Waste, Liquid <br />134 <br />Oily Water Non RCRA Hazardous <br />Waste Liquid <br />Non RCRA Hazardous Waste Solid <br />Oil Contaminated Debris / Soil <br />Waste Combustible Liquid nos 3 <br />UN1993, PG III <br />Non Hazardous Waste Liquid <br />Non Hazardous Waste Solid <br />Transportation Charges <br />Washout Charges <br />Drained Used Oil Filters <br />Empty Drums <br />Additional Labor <br />Pressure Washer <br />Other: <br />DISPOSAL/RECYCLING FACILITY: Collection Station Industrial Agncu^lture Goverment Marine TOTAL 9 j� re <br />Amso Independent Oil �McKittnck Waste Treatment Site 1 IDIK Environmental <br />5002 Archer Street; Alviso, CA 56533 Hwy 58 West; McKiltnck, CA �••- 3650 E. 26th Street, vemon. CA NET 10 DAYS <br />CAL 000 161 743, 95002 CAD 980 636 831, 93251 CAT 080 033 681; 90023 <br />(510) 797-8511 (805)762-7366 (323)268-5056 <br />Onyx Environmental services Seaport Environmental Commercial Filter Recycling <br />1125 Hensley Street: Richmond, CA 675 Seaport Blvd; Redwood City. CA 33210 Wester Ave. union City, CA <br />CAT 080 022 148. 94081 CAD 000 032 058, 94063 (510) 487-9277, 94587 <br />(510) 233-8001 (415) 364-8154 <br />DeMenno Kerdoon Evergreen Oil <br />2000 N. Alameda Blvd. Compton, CA 6880 Smith Ave, Newark. CA <br />CAT 080 013 352. 90221 CAD 980 887 318, 94566 <br />(310) 571-3700 (510) 795.4400 �l <br />10L ZZ f <br />I hereby Certify that all information Submitted in this and all alached documents contain true and act -urate descnphons of the waste. All relevant int atlon regafdm o or syspecleo mace <br />i <br />associated with the wastes has been disclosed Clea r transports all wastes to facilities which are properly permitted and licensed to accep ese wastes <br />DRIVER r GENERATOR <br />SIGNATURE ) SIGNATURE <br />