Laserfiche WebLink
BILLING INFORMATION <br />Send Payment to: <br />P0. Box 1904 <br />Vacaville, CA 95696 <br />(800) 669 - TANK <br />JOB SITE <br />voice <br />Inv. # <br />Date: L <br />EPA #: CAD981694722 <br />NAME <br />NAME <br />PO# CASH CHECK <br />ADDRESS <br />ADDRESS <br />CUSTOMER EPA ID # <br />,_ <br />CITY STATE ZIP <br />CITY STAT ZIP <br />PROFILE # <br />_ <br />G'of y G <br />PHONE # <br />PHONE # <br />CUSTOMER ID # <br />ti <br />4,? :ti- <br />PRODUCT <br />PRODUCT PROPER <br />WASTE <br />MANIFEST NUMBER <br />QUANTITY <br />UNITS <br />PRICE <br />AMOUNT <br />SHIPPING DESCRIPTION <br />CODE <br />Non-RCRA Hazardous Waste, Liquid <br />Used Oil <br />221 <br />GAL. <br />Non-RCRA Hazardous Waste, Liquid <br />Used Automotive Antifreeze <br />134 <br />GAL. <br />Non-RCRA Hazardous Waste, Liquid <br />Oily Water <br />GAL. <br />Non-RCRA Hazardous Waste, Solid(,"'?'' <br />(Oil Contaminated Debris) <br />7 7/. <br />94.E r <br />LBS. <br />Waste Flammable Liquid, n.o.s., 3, <br />UN1993, PG III <br />GAL. <br />Waste Flammable Liquid, n.o.s., <br />(Paint Related Material), 3 UN1263, PG III <br />GAL. <br />Transportation Charges <br />HOURS <br />Drained Used Oil Filters <br />..•..• <br />�...a -. .,. <br />EACH <br />-� <br />Empty Drums <br />EACH <br />Additional Labor <br />EACH <br />Other: <br />Other: <br />Test Pass ❑ Fail ❑ PPM Lubricating Oil ❑ Industrial Oil ❑ <br />DISPOSAL/RECYCLING FACILITY: <br />Collection Station <br />Industrial <br />Agriculture <br />Government <br />Marine <br />TOTAL <br />1'.'J Commercial filter Recycling Inc. 2. Zrosby-Overton 3. River Bank Transfer 4. Ramos Environmental <br />'' 33210 Western Ave "' ` <br />1630 West 17 St. 5300 Claus Rd #11 1515 S. River Rd. <br />Union City, CA 94587 Long Beach, CA90813 River Bank, CA 95367 <br />Sacramento, CA 95667 <br />CAL000091507 CAD028409019 CAL000190816 CAD044003556 <br />5. Other <br />1.5% Interest Charge to all balances not paid within 30 days of this invoice. <br />Total Charges <br />Drum work invoice additional late charge $35.00. <br />I hereby certify that all the information submitted in this and all attached documents contains true and accurate descriptions <br />of the waste. All relevant information regarding known or suspected hazards associated with t e waste has been disclosed. <br />gnature GeneratQ(W Signature <br />