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WE ACCEPT , .6A& MASTERCARD <br /> CLEARWATER <br /> ENVIRONMENTAL MANAGEMENT, INC. <br /> REMIT TO: Bill of Lading <br /> P.O.Box 2407 UNION CITY,CA 94587-2407 P.O. Box 349 SILVER SPRINGS, NV 89429-0349 Invoice#102357 <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 <br /> BILLING INFORMATION JOB SITE All <br /> NA NAME Po# 6 ZQ C SH CH <br /> RESS ADDRESS CUSTOMER EPA ID# <br /> Co c� /v/ C' zy 68� <br /> CITYSTATE CITY STATE ZIP PROFILE# <br /> P t.•JJ--.•_E NO. // PHONE NO. CUSTOMER ID NO: <br /> p ( ) <br /> PRODUCT PROPER WASTE MANIFEST NUMBER QUANTITY UNITS PRICE AMOUNT <br /> SHIPPING DESCRIPTION CODE <br /> Used Oil, Non-RCRA Hazardous <br /> Waste, Liquid 221 O //a f 14j, J <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 /> UN1993, 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 /> DISPOSAL/RECYCLING FACILITY: Collection StationIndustria Agriculture Go arnmem Madne TOTAL <br /> Aiviso IndepaMent Oil Clearwater F haanrental M9mt.IncO DM Erwimm <br /> nantal <br /> 5002 Archer Street AWlso.CA 2430—1—Dr. 3650 E.26th Sheet Var..CA <br /> CAI-000161743: 95002 Silver Sgings,NV 89429 CAT080033681; 90023 ET IO DAYS <br /> (510)476-1740 NVD 992 356 463 (323)268-5056 <br /> (n5)577-9001 <br /> Cry.Envkanrcemal Services Seaport ErMronroantal Commerclal Fdrer Recycling <br /> 1125 Hensley Sheaf; Richmond CA 675 Seapon SNd Redwood City.CA 33210 weciern Ave; Union City.CA <br /> CATM0022148; 94801 CAR 000 140 624: 94063 (510)487-92A; 94567 <br /> (510)233A001 (650)364-f;lm <br /> Dwemm and. O Evergreen OJ <br /> 2000 N.Alameda RNd: Compton.CA 6880 Smith Ava; Newark.CA <br /> CAT08(1013352; 90222 CAD 980887418: 94560 <br /> (310)537-7100 (510)795-440(1 <br /> I hereby certify that all information submitted in this and all attached documents contain True and accurate descriptions of the waste. All relevant information regarding known or suspected hazards <br /> associated with the wastes has been disclosed.I certify th n established program to reduce Ne volume of waste to the degree to economically practicable. <br /> 11 <br /> DRIVER GENERATOR <br /> SIGNATURE <br />