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s 08/23/2012 09:44 FAX COTTAGE BAMMY INC 41008 <br /> • F$amos Environmental Services <br /> 1515 South River Rd. <br /> t SaWanento, CA 95961 <br /> (816) 371-5747 <br /> i CAD044003556 <br /> 'CE 131760 <br /> SERVICE QODER OFUM NO. <br /> DATE ! , • JC9 NiJMBER , <br /> GMERATOR GENERATOR EPA« <br /> AMOUNT-(IF <br /> GENEIWOR CONTACT CHECK NUMSER <br /> �.iFiHOhI�- ��� - /wy� ��.�-.'ice:.e�++e�•}?1��.i.y_�+�•. x -.t..+.�r. .., �i;L.f\V��.�,''� .� .. '. ��. <br /> JOB SITE ADDRESS r CASH RECEIVED s' (amt) . <br /> —� ---- ., . -- HALIDES RPAC <br /> 1 � .,.. <br /> ' .Noe DE:3c�t1PT�iN . <br /> MATERIALS <br /> Q N0 I,f PA' A ARDOUS WASTE LIQUID.(USED OIL) .CODE i <br /> ❑ON RCRA HAZARDOUS WASTE. $OUO-U OUND CODE* S`IAF(T TIME �+o <br /> U.S.DOT DS SCRNPI'ION: END TIME ./&-Wf ..- <br /> MFn-FREEM NON RCRA HAZARDOUS WABTI_Lutim CODE LISD OIL FILTERS _ -- ---- DRUMS <br /> MANIFEST NO NO.OF GALLONS <br /> t?RIYR'13 8n1'1ATuAE $��� TRUCK 1tx_ <br /> r�-.-i,, MR'r's+� S?!� -�tir tr•n,a+y,-.�•,vY <br /> I'HEPAW CE� l T I WUIE NOT.MD ED THIS WASTE WITH ANY OTHER WAS'T'E,AND THE TOTAL HALIDES ARE LM THAN"M P.P.M. , <br /> Tf1it is Sd certify tlglt the ft�e WFWI Ya**S Ars prvperV ciaasMW. dowrbod, packaged, n'Tarfted and aro in'pMpw =ndltldn For <br /> #ranaparladon, eWd the*Wicabla"Matta of the Department of TrsrwW tatlon. " <br /> 4Aeq bore ,I oerwj!OW I he*s p pow. in plats to reduce the vokrrne and twdOW of waele gerwand to the d4ft I daw►•da�d <br /> ' o'be sapn �#arrw>'e•aQneee with•the g.r,�tor to tend all their hazarddrre wane to an aultroriz�ed haxtudoua waste treatment facSlty <br /> vla Rance wed pwm tted faft, <br /> All used ca coiicbd ftm go generator bded abow wO be ttarwparod only to a fouay pwm tied by the State of caufornla to 20cw uteri oil <br /> Tdnttt-nee 15 dpWm;, <br /> 4. <br /> .After data date,a fineinne ctta e'of 1.3696 per nwnth,ta.OD%Annual rata WARI tai. .*, unpal adsnoa. Starner agreaa tot pay taesoneblo <br /> opttt and Www teas Ira rrod In#w mon of this ohligefth Vane for tNe WWII be'tbb Caurrgl, <br /> I declare,under perwNy or perpay that the trspoing It true and owmct <br /> �r x _ <br /> 24 Hour EmA)rglanC y Res p } <br /> �'ales Team: 1-800-456-SPILL.. <br />