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O <br /> :HorTAN SUPPLY cog N°NVOIEW 1 <br /> 009 <br /> #1 IN AQUEOUS CLEANERS '` CUSTOMER NUMBER 305790 <br /> 10328 EAST SIERRA AVENUE <br /> CLOVIS,CALIFORNIA 93611-9311 <br /> (559)297-0102 OR(559)292-4965' <br /> EPA#CAD981690126•STATE ID#1849 <br /> 305'90 A. 1-1 el- <br /> SOLD TO: Amcrneisca-3 vv �� �� SHIP TO: <br /> 4290 E. C hffakeeRd <br /> Stodaaq Ca. 5520.5 ,t <br /> •=,AZ iY000�r99 <br /> 109-931-0550 <br /> Fran®-lace <br /> PLEASE PAY BY INVOICE Net 30 Days To�a He- maw <br /> RENTALS: <br /> MDSE: <br /> SERVICE: ���•' \ ✓ �I i }�7 � ,` �, t: ��J,r�- 'X:h <br /> WASTE REMOVAL;_ <br /> i, - -� <br /> MANIFEST# �� WASTED QTY <br /> MANIFEST# I WASTE# <br /> L <br /> MANIFEST# WASTE# QTY <br /> 1. RQ.Waste Corrosive Liquid,N.O.S.,S,UNI 760,PGHI <br /> 2. RQ,Hazardous Waste,Liquid,N.O.S.,Class 9,NA3077,PGIII <br /> 3. Aqueous Solvent Waste-Class 11 Liquid Non-Hazardous <br /> 4. RQ,Hazardous Waste,Solid,N.O.S..Class 9 NA3077,Pg HI <br /> 5. Oil/Water Sludge-Class I(Haz.Waste N.O.S.9,N0077,III <br /> 6. Hazardous Waste,N.O.S.,Waste Paint Related Material,UN 1263,3,Pg11 <br /> 7. RQ,Hazardous Waste.Liquid,N.O.S.,Class 9,UN1760,Pg III <br /> Certificate of Compliance No. 1849 <br /> 1 certity that the amount shown above to be correct.HTS Co.certifies that the above waste will be <br /> transported to an authorized waste treatment facility in accordance with applicable laws. <br /> i <br /> Drivers Signature <br /> Customer Printed Name . <br /> V <br />