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07/20/2004 14:53 2094650773 TOYS R US DC 58 <br />Send Payment to; <br />4AIP f^ P.O. Box 1904 <br />Vacaville, CA 95696 <br />(800) 669 - TANK <br />"`fid IMC. <br />BILLING INFORMATION JOB SITE <br />NAME NAME <br />ADDRESS ADD ESS <br />CITY STATE ZIP CITY <br />PHONE* T PHONEA! <br />PAGE 01/01 <br />Invoice <br />Inv.# 5867 <br />Date:- d¢ <br />EPA #:`. CAD9a1694722 <br />PO# CASH CH - <br />CUSTOMER EPA ID # <br />STATE ZIP PROFILE # <br />ZV& 4-1 I r 1 <br />PRODUCT PROPER WASTE MANIFEST NUMBER QUANTITY UNITS <br />SHIPPING DESCRIPTION CODE <br />Non-RCRA Hazardous Waste, Liquid 221 <br />Used Oil GAL. <br />Non-RCRA Hazardous Waste, Liquid <br />Used Automotive Antifreeze 134 GAL. <br />Non-RCRA Hazardous Waste, Liquid <br />Oily Water <br />Non-RCRA Hazardous Waste, Solid <br />(Oil Contaminated Debris) <br />Waste Flammable Liquid, n.o.s., 3, <br />UN1993, PG III <br />Waste Flammable Liquid, n.o,s,, <br />(Paint Related Material), 3 UN1263, PG III <br />CUSTOMER ID # <br />PRICE <br />Post -It"' brand fax transmittal memo 7671 <br />1# of PAgesTo >> <br />�'VeAfS#114' <br />j <br />From %..N/j /'i <br />�' <br />Co. 4,-rUvI/Ldl i//ilf-7jt(. %ti!+�di <br />Ti{� �(T <br />xI US <br />Dept, <br />Phone?2Qq} C/( ' �9/ Z <br />fax73 <br />�� x # i Zct�f/, �G7 61%2 <br />Transportation Charges I I HOURS <br />Drained Used Oil Filters <br />Empty Drums <br />Additional Labor <br />Other; IJ 1 �r �'r2 S�1 % W,#('lP <br />Other, �.&f Ps SAf rr%< <br />Test pass Q 'Fail (] PPM'` Lubdi <br />DISPOSAL/RECYCLING FACILITY' Collection Station Industrial Agriculture Go <br />1. Commercial Filter Recycling Inc. 2, Crosby -Overton 3, River B: <br />33210 Western Ave 1630 West 17 St. 5300 CIi <br />Union City, CA 94587 Long Beach, CA 90813 River BE <br />CAL000091507 CA0028409019 CAL000 <br />EACH <br />EACH C3 <br />EACH <br />AMOUN' <br />ing Oil Industrial Oil ❑ <br />nment Marine TOTAL <br />l 70 <br />Transfer <br />4, Ramos Environmeni <br />Rd k11 <br />1515 S. River Rd. <br />CA 95367 <br />Sacramento, CA 956 <br />1816 <br />CAD044003556 <br />1.5% Interest Charge to all balances not paid within 30 days of this invoice. rOtai Charges <br />Drum work Invoice additional late charge $35.00. � 06 <br />1 hereby certify that all the information submitted In this and all attached documents contains tru and accurate descriptions , <br />of the waste. All relevant InforMation regarding known Or suspected hazards associated with the waste has been disclosed. <br />Driver's Signature Generator's igrlafure.. _ <br />