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WE ACCEPT VISA & MASTERCARD <br /> C L E A R WAT E R l'�Ilillir+l <br /> ENVIRONMENTAL MANAGEMENT, INC. <br /> REMIT TO: BIII Of Lading <br /> P.O. Box 2407 UNION CITY,CA 94587-2407 P.O. Box 349 SILVER SPRINGS, NV 89429-0349 Invoice# <br /> (800)499-3676 FAX(510)476-1786 (775) 577-9001 FAX (775)577-9199 <br /> CAR 000 007 013 NVD 982 358 483 (800)471-2105 <br /> Date �ey-- <br /> BILLING INFORMATION JOB SITE <br /> NAME NAME PO# CASH HEC <br /> ADDRESS ADDRESS CUSTOMER F5PAID# <br /> 7 <br /> ^STATE ZIP CITY STATE ZIP PROFILE# <br /> P NEN PHONE NO. CUSTOMER ID# <br /> ( ! C57 ( I <br /> PRODUCT PROPER WASTE MANIFEST NUMBER QUANTITY UNITS PRICE AMOUNT <br /> SHIPPING DESCRIPTION CODE <br /> Used Oil, Non-RCRA Hazardous <br /> Waste, Liquid 221 <br /> Used Automotive Antifreeze, Non-RCRA <br /> Hazardous Waste, Liquid 134 <br /> Oily Water Non-RCRA Hazardous <br /> Waste, Liquid <br /> Non RCRA Hazardous Waste Solid <br /> Oil Contaminated Debris/Soil <br /> Waste Combustible Liquid nos 3 <br /> UN-1993, PG III <br /> Non Hazardous Waste Liquid <br /> Non Hazardous Waste Solid <br /> Transportation Charges <br /> Washout Charges <br /> Drained Used Oil Filters <br /> Empty Drums <br /> Additional Labor <br /> Pressure Washer <br /> Other: <br /> DISPOSAURECYCLING FACILITY: Collection IrMustiial Agriculture 6memmenl Marine TOTAL <br /> Alviso mdependem Oil Clearwater Emnonmorml Mgmt.Inc. � DM Errvimnmemal <br /> 5002 Amher Street: AIN50,CA 2430 Alrtwnd Dr. 3850 E.28h Street; Vemm�,CA <br /> CAL 000 161 743: 96002 Silver Springs.NV 89429 CAT 080 033 681; 90023 <br /> (510)476-1740 NVO 982 358 483 (323)26&5056 NET 10 DAV'- <br /> (610) <br /> (775)577-9001 <br /> Onyx Environmental Services O Seapon Environmental O Commercial Filter Recycling <br /> 1125 Hensley Street; Richmond,CA 675 Seaport Blvd: Redwood City,CA 33210 Western Ave: Union City.CA <br /> CAT 080 014 079; 94801 CAR 000 140 624; 94063 (510)487-9227. 94587 <br /> (510)2338001 (650)364-8154 <br /> DeMorms Kerdoon O Evergreen Oil <br /> 2000 N.Alameda Bbd: Compton.CA 6880 Smih Ave: Newark,CA <br /> CAT 080 013 352; 90222 CAD 980 887 418; 94560 <br /> (310)537-7100 (510)ns-0 <br /> I hereby certify hal all information submitted in this and all affected documen6 contain true and accurate descriptions of the waste.All relevant information regarding known or suspected hazards <br /> associated with the wastes has been disdased.I certify hal we have an este pmgmm to reduce the volume of waste to <br /> th(r o <br /> be economcally pracfcbte. <br /> DRIVER GENERATOR <br /> ATlloc ` A <br />