Laserfiche WebLink
06/7/2007 11:17 <br />19 <br />INC. <br />BILLING INFORMATION <br />NAME <br />209465073 TOYS R US DC 58 <br />Send Payment to: <br />PO- I30X 1904 <br />Vacaville, CA 95696 <br />(800) 669 - TANK <br />JOB SITE <br />PAGE 01/03 <br />Invoice <br />Inv. # <br />Date: _— -' -- 7 . <br />EPA #: CAD981694722 <br />POS CASH CHECK <br />CITY '"--STATE ZIP <br />-',< 7 <br />/7 C/� t'r / <br />CITY <br />EPA ID # <br />PHONE # — <br />STAT&— p <br />U:• r / <br />"zCUSTOMER <br />1 �. /` .fir• 7 <br />PROFILE <br />fav ,.i' �" <br />PRODUCT PROPER <br />%' ; '- _ -'f _. i� �y <br />CUSTOMER ID # <br />SHIPPING DESCRIPTION <br />WASTE MANIFEST NUMBER QUANTITY <br />Non-RCRA Hazardous Waste, Liquid <br />CODE UNITS <br />PRICE AMOUNT <br />221 <br />Waste Corrosive Liquid <br />—_ GAL. <br />Non-RCRA Hazardous Waste,Solid <br />--- GAL. <br />(Oil Contaminated Debris) <br />-- <br />Waste Flammable-40W.LOS. <br />UN19�frgy— <br />Waste Flammable "• ,, ',r �.S <br />Liquid, <br />! r� 5 Z.^ 2 G ,._� ��� <br />! <br />/0 <br />n.o-s., <br />(Paint Related Material), 3 UN1263 P G rrl <br />„? -S 9Mlt <br />Transportation Charges <br />GAL. <br />Drained Used Oil Fitters <br />— i HOURS <br />.: :?t? <br />�S <br />Empty Drums _ _ <br />( EACH <br />S VC; :r <br />Additional Labor post -it" Fax Note <br />7671 DEACH <br />2te y <br />To �i�cC #/Ca-tC <br />From�� r sPs• <br />Other. Co.roepr. <br />EACH <br />r�rGr c. .oI�G <br />Phone tt <br />Co. <br />Other: <br />Phone <br />Ffix a <br />Fax A <br />Other: <br />rest Pass ❑ Fail <br />❑ PPM <br />�)ISPOSAL/RECYCLING FACILITY: <br />—� - <br />Collection Station Industrial Agriculture G <br />Commercial Filter Recycling Inc. - overnment Marine <br />33210 Western Ave. ti✓ r0sbY-Ovenon <br />Union City, CA 94587 <br />16M West 17 St, 3" Other <br />CALOOOM150-1 <br />L -g Beach, CA 90813 <br />CAD02840%19 <br />OVERNMENTAL COMPLIANCE FEE $ <br />to Charge to all balances not paid within 30 days. <br />um work invoice additional late charge $35.00 <br />Total Charges <br />ereOY 9M'q t"t all the 1010MIM IM SUbMed in <br />-, -� <br />WS and all attached documents contains true and adeurate descIptlons <br />the wade. All relevant inionnation regarding known of suspected hazatds associated With the waste has been diSaos�- <br />Generator's Signature <br />SrivPr's Signature <br />