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A&S Environmental Services Bill:of Lading/Invoice <br /> P.O. Box 186 <br /> : .; .LaGrange, CA 95329 For Service 140 .37 -.. <br /> •:''(209) 538-08861 Fax(209) 538=2498 " 800-760-0019. <br /> Y EPA# CAR000176537 <br /> �:',•". . - Date <br /> JOB LOCATION BILLING INFORMATION <br /> NAM$ NAME CASH❑ CHECK 11•"• ' - •� �i�� �:./•r���f # <br /> f�7 ADDRESS .CONTACT NAME' <br /> CIIr^ ZIP CO CITY: :STATE ZIP CO PO# <br /> PT3�0 O. PHONE 110. <br /> PROFILE NO. t0 <br /> PRODUCT:. WASTE. : ..."i 1AUNIFEST . O AiVTIT UNITS PRICE• AMOUNT" <br /> CODE NUMBER (For TimeOf Serglce Only) <br /> `a USed'.oil,N4�12CRA Hazardous Waste,Liquid CA 221W'd <br /> y.,. UspdAutomotiveM.dfr <br /> '.ebze,la-RCRAHazardous. CA 134 <br /> •Waste Uqurd <br /> Non•RCRA Hazardous.Wasta Liquid CA 221 Gal <br /> } <br /> I Otl&V!'ater,Noa-RCRAHazardous Waste Liquid-` CA 223 i "'r , i .Gall <br /> .f�1.i.. JEt0ty Drum'Delivery <br /> Empty:DrumPick`iJp; <br /> +. ..: <br /> • Drained TJsed Oil Filters. .' _ r`;'' <br /> labor <br /> Waste;Flammable.Liquid Gas CA 133 Gal <br /> % Non-RCRA Haiardous Waste Solid CA 352 : '1 <br /> Wasfetires: Ar-hrr <br /> Yastalla 2bleL•igi dPaint CA331 Gal <br /> .9jher. - <br /> • � Other: .. •j - .: '. "'',' •:; ' <br /> t Other ., ;,:. <br /> Other :. yr ..;n <br /> TEST PA — '•'i�: AII O °' PPM Test - <br /> l ectiori Smtio L1 Agriculture So ;a A&S`'Environmenial'Services as the hansporter of your TOTAL <br /> O.Government Source ❑Industrial SaA6 Hazardous waste may'nse another licensed transporter to 1 <br /> 13 Marina Some haul your Waste to a designated facility. CHARGES <br /> DESIGNATBD TSDP; p,EVERGREEN ENVIRONMENTAL• 8b SmithAvenue•Newmark,CA+CAD982413262•(80.0)972=5284. <br /> ❑RAMOS ENVIRONMENTAL• 151S.River Rand--W.Sactamer ld,CA 95691•CAD044003556•'(916)371-5747• <br /> ANK OIL TRANSFER 5300 Claus Road•'Riverbank,CA 95367-,CAL060190816 a(209)863-8181 <br /> ES NVMON1VIENTAt-i 2430 Almond Drive•Silver S. NV 89429•,NVD982358483•(775)577-9001 . <br /> ��ALTERNATE FACILITY <br /> U ALTERNATEFACILITY` <br /> This is to.ceo' at the above named articles rite liroperly classified,describpd,.pac - A service cbarge oPl l/Z%permontflshn116e phtirgedon ill past du6.accdunts.Collections' <br /> aged;-marked and labeled,and are in proper condition for transportation,accord' to costs,including.attomey's,fees,will be.added to past dud n'ccounts plaeeil forpollec#oos, <br /> the applicable regulations of j e.D parlmeut of T7ranspbrta�p;; I'FIE Y C Y THAT I HAVB:�67MI7HD TES WASTE,WITH ANY onF ER <br /> ;WfirS ,THAT TOTALRALIDES'ARELESS,THANl000P.I'.M,;ANDTHmTBE <br /> W TMEDOES OTCONTAINANY•PCB'S. ' <br /> DRNM SIGNATURE 6 TO °S SIGN AMOUNT.DUB IN 30 DAYS <br />