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GREENLEAF ENVIRONMENTAL. 'SERVICE BILL OF LADING 4 HT11353
<br /> P.O. BOX 1765 EPA NUMBCR CAL000163781
<br /> LODI, CA. 95241-1765
<br /> (200) 754-4600
<br /> 1{ PICC—UP SHIP TO: V DATE 7
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<br /> (C '; jcUCT NO.
<br /> I U ;ACAMPO AG SERVICE GREENLEAF ENV. SERV
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<br /> 4'I E "CITY STATE ZIP 'VALLEY SPRINGS, CA ':'PHONE (209)
<br /> R ,;ACAMPO CA 95220 95252 X1.333-1` 99
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<br /> 1 ;DRAINED USED OIL FILTER`; 55 GL DF."', 1i t!
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<br /> +i3OIL ABSORBENT MATERIAL 55 GL DR ? Illn`
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<br /> DOTAL 20.00 l
<br /> CHARGE
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<br /> I I CERTIFY THAT THE INFORMATION AND THE AMOUNT:, JH0WN ABOVE ARE TRITE AND
<br /> CORRECT, AND THAT THE USED OIL FILTERS PROVIDED TO GREENLEAF ENVIRO SERV
<br /> j MEETS THE DEFINITION OF USED OIL FILTERS PURSUANT TO CALIFORNIA HEALTH
<br /> j AND SAFETY CODE SECTION 25250_1, UNLESS OTHERWISE NOTED. THIS FURTHER
<br /> I SERVES AS NOTIFICATION THAT THE ABOVE WASTE IS BANNED FROM LAND DISPOSAL
<br /> I PERSUANT TO SECTION 66268.7 (10) OF TITLE 22. I A!_SO ACKNOWLEDGt. THAT I
<br /> HAVE READ AND AGREE TO THE TERMS AND CONDITIONS SET FORTH ON THIS FOR'N.
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<br /> I DRIVERS SI r TURF GATE GENERATOR'S SIGNATURE DATE
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