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ON <br /> :HOT tMoKsSUPPLY CO. INVOICE UMB R <br /> poi <br /> ; �80 <br /> 305790? <br /> , v <br /> 10328 EAST SIERRA AVENUE CUSTOMER NUMBER <br /> CLOVIS,CALIFORNIA 93611-9311 <br /> (559)297-0102 OR(559)292-4965 <br /> EPA#CAD981690126•STATE ID#1849 <br /> � ('hNrekna Rd SHIP TO: <br /> SOLD TO: 4 <br /> Stas&='1ti CA 95205 <br /> C„AL000084499 <br /> 205`-'737-055 ` <br /> Rsnn or Da— <br /> SHIP VI"NetT3 <br /> MRER DUE DA <br /> PLEASE PAY BY INVOICE ys PyazJ xr .p <br /> REM NUMBER <br /> DESCRIPTION <br /> TANK/CHEM / V /v✓ L. /C�.tJ ��Ur�-t`,\ f �, f .� u <br /> TAX �,fe`)6 <br /> LABOR <br /> WASTE REMOVAL _ ) �„/ U0 <br /> MANIFEST# � ,I <br /> ❑A eous Solvent Waste-Class I 0 J <br /> ardous Waste N.O.S.8,UN1760,III) <br /> uj <br /> Aq <br /> Aus Solvent Waste-Class I <br /> ardous Waste N.O.S.9, NA3077,III) O' <br /> Aqueo <br /> uss Solvent Waste-Class II Liquid 2 <br /> 0 Solids Contaminated With Used Oil J !!! <br /> (Hazardous Waste N.O.S.9, NA3077, III) <br /> ❑Oil/Water Sludge-Class I <br /> (Hazardous Waste N.O.S.9, NA3077,IM <br /> ❑Hydroxide Sludge-Class I <br /> (Hazardous Waste N.O.S.8�, UN17760,III) <br /> Manifest No.� <br /> d <br /> ) N.jj[ O:T� <br /> - <br /> Certificate of Compliance No. 1849 <br /> Waste:Quantity—lbs. <br /> I certify that the amount sh to be coned and that unless otherwise noted <br /> the material is Hot Tank Sludge.HTS Co.certifies that the above waste will be transported to an <br /> authorized waste treatment facility in accordance with applicable laws. <br /> f <br />