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Jun 16 10 01 : 18p ECCIOSTOCKTON 20960 3811 p. 4 <br /> Y <br /> 1187 VANDERBILT CIR. #2 <br /> CALIFORNIA COOLANT SERVICE IViANTECA, CA 95337 <br /> "Your California Antifreeze Service Company" OFFICE: 209-239-5587 <br /> Transporter EPA#CAR000047167 FAx: 209-239-6316 <br /> SERVICE ORDER: 5 a b 9 9 <br /> Customer <br /> Ecco Equipment Corporation (24-982472) MANIFEST# <br /> 301 Newton Road I D 6 S`?3(o a <br /> Stockton, CA 95205 <br /> 209480-3800 <br /> EPA#CAL 000 144 601 Customer* 1317 Contact_Scott Chadwick Terms; Net 30 Rgp: Louie Machado <br /> CODE DESCRIPTIONQTY UNIT PRICE AMOUNT <br /> &=_ �s ZZ <br /> Roadyr <br /> 050 Waste Antifreeze Picic-Up <br /> Tank Serial Numbers: Non Taxable Sub Total r ZZ <br /> r-- <br /> Taxable SubTotal <br /> Tax <br /> TOTAL DUE <br /> WASTE DISPOSAL INFORMATION --- <br /> ❑ NON-RCRA HAZARDOUS WASTE,LIQUID(USED OIL!MIXED OIL)-NO PLACARDS REQUIRED- STATE CODE 221 <br /> O'NON-RCRA HAZARDOUS WASTE,LIQUID(ETHYLENE GLYCOL SOLUTIONS)'NO PLACARDS REQUIRED' STATE CODE 134 <br /> ❑ OTHER: <br /> ❑ DESIGNATEDTSDF: <br /> ❑ EVERGREEN OIL,INC.: 6880 Smith Avenue•Newark,CA -CAD980887418•(510)795-4400 <br /> ❑ THERMO FLUIDS: 655 South Stanford Way•Sparks,NV 89431 •NVD982510711 •(775)219-7396 <br /> ❑ D/K DIXON: 7300 Chevron Way-Dixon,CA 95620-CAT080012602•(707)693-6008 <br /> ❑ RAMOS ENVIRONMENTAL: 1515 S.River Road•W.Sacramento,CA 95691-CAD044003556-(916)371-5747 <br /> D NU-SET INDUSTRIES: 977 South 700 West•Salt Lake City,UT 84104•UTD982589459•(801)977-0220 <br /> ❑ ALTERNATETSDF: <br /> ❑ CFR: 33210 Western Avenue•Union City,CA 94587•(510)487-9277 <br /> (All Generators/Customers MUST read the following text.) <br /> If I am a large quantity generator,I certify that 1 have a program in place to reduce the volume and toxicity of waste generated to the degree I have determined to be <br /> economically practicable and that I have selected the practicable method of treatment,storage,or disposal currently available to me which minimize the present <br /> and future threat to human life and the environment; Or,if I am a small quantity generator,1 have made a good faith to minimize my waste generation and select the <br /> best waste management method that is available to me that t can afford. <br /> 1 HEREBY CERTIFY THAT I HAVE NOT MIXED THIS WASTE WITH ANY OTHER WASTE,THAT THE TOTAL HALIDES ARE LESS THAN 1000 P.P.M.;AND THAT THE WASTE DOES <br /> NOT CONTAIN ANY P.C.B'S. <br /> `I MHER AGREE TP. <br /> O ACCEPT THE AD ITIONAL CHARGES FOR LEGAL DISPOSAL IF THIS WASTE IS 1 A 0 L H LIDES,OR CONTAINS ANY P.C.B'S. <br /> kkZ IHO <br /> Cus on Signature Date DriveeS- a r / Date <br /> 3.43 <br /> Print Name Print Driver's Name <br /> All returned checks are subject to a$15.00 Service Charge. <br /> Allamounts not paid within 30 days of invoice are subject to 1 1/2%interest per month,18%annually on unpaid balance. <br />