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A!= ACCEPT M./I+ & MASTERCARC jwCLEARWATER �' <br /> _ hI <br /> ENVIRONMENTAL MANAGEMENT, INC. <br /> REMIT TO: Bill of Lading <br /> P.O. Box 2407 UNION CITY, CA 94587-2407 P.O. Box 349 SILVER SPRINGS, NV 89429-0349 Invoice # <br /> (800)499-3676 FAX (510) 476-1786 (775) 577-9001 FAX (775) 577-9199 <br /> CAR 000 007 013 NVD 982 356 483 (800) 471-2105 <br /> Date <br /> BILLING INFORMATION JOB SITE <br /> NAME NAME PO# r #AS? CHECK <br /> ADDRESS ADDRESS CUSTOMER EPA ID# <br /> ZZ3-7 <br /> CITY STATE _ ZIP CITY STATE ZIP PROFILE# <br /> PHONE NO. PHONE NO. CUSTOMER ID# <br /> PRODUCT PROPER IWASTEI MANIFEST NUMBER QUANTITY UNITS PRICE I AMOUNT <br /> SHIPPING DESCRIPTION CODE <br /> Used Oil, Non-RCRA Hazardous <br /> Waste, Liquid 221 <br /> Used Automotive Antifreeze, Non-RCRA <br /> Hazardous Waste, Liquid 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 /> VV <br /> DISPOSAL/RECYCLING FACILITY: Collection station Industrial Agriculture Government Marine TOTAL <br /> Aliso Independent Oil O Clearwater Environmental Mgml.Inc. O C/K Environmental <br /> 5002 Archer Street; All CA 2430 Almpntl Dr 3650 E 26th Street: Vernon,CA <br /> CAL 000161743: 95002 Silver Springs,NV 89429 CAT080033661'. 90023 NET 10 DAYS <br /> (510)476-1740 NVD 982 358 483 (323)268-5056 <br /> (775)577-9001 <br /> Onyx Environmental Services Seaport Environmental O Commercial Filter Recycin g <br /> 1125 Hensley Street: Richmond,CA 675 Seaport B,vd: Redwood City,CA 33210 Western Ave; Union City,CA <br /> CAT 080 014 079, 94 1 CAR 000 140624. 94063 (510)487-9227: 94587 <br /> Silt)233-8001 (650)364-8154 <br /> Detail Kerdoon O Evergreen Oil <br /> 2000 N.Alameda Blvd; Compton.CA 6880 Smith Ave. Newark,CA <br /> CAT 080 013 352. 90222 CAD 980 887 418: 94560 <br /> (310)537-7100 (510)795-4400 -A6 Aetcf <br /> I hereby cel that all Information submitted in this and all attached documents contain true and accurate descriptions of the waste.All relevant Infom,ation regarding known or suspected hazards <br /> associated with the wastes has been disclosed Lcamfy that we have an established program to reduce the volume of waste to the degree to be economically practicable. <br /> DRIVER GENERATOR <br /> SIGNATURE SIGNATURE - _ <br />