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WE ACCEPT b 1oA& 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# 10 1 i i <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 <br /> NAME PO# CASH CHECK <br /> AD RESS ADDRESS CUSTOMER EPA ID# <br /> CI _ STATE IP CITY STATE ZIP PROFILE# <br /> PHONE NO. PHONE NO. CUSTOMER ID NO: <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 /> 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 Station industrial AgricuWre Go ernmem Marine TOTAL Ll/, <br /> Mesa Independent Ot O Clearwater Fmhonmental M9mt.Inc. O DM Emnnewsawal / S <br /> 5002 A2hsr S✓aeb Alvisw CA 2430 Almond Or. 3650 E 26Th 50-1;Vemon,CA <br /> CALM 161 743; 95002 Street Spdtgs,NV 89429 CAT MOM 681: S00" NET 10 DAYS <br /> (510f476-1740 NVD 982 358 463 (323)268-5056 <br /> (775)577-91101 <br /> Onyx Emnranmenlal Servires O Seaport mordernmentat O Commercial Filter Recydirg <br /> 11 -moley SBeat; Rich nmel.CA 675 5eepod Slvd: Radwood City,CA 33210 Weslem Ave; Dnio.City.CA <br /> CATo80022146: Ma01 CAR 000140624; 94063 (510)487-9277: 94587 <br /> (510)23Ytlofl (650)364-8154 <br /> (DWermo Kerdoon O Evergreen OII <br /> 2000 N.Alameda Sired; Compton.CA 6880 Smits Ave: Newark,CA <br /> CAT M OM 352; 90222 CAD 980 t167 418; 94560 <br /> (310)537-7100 1510)nl5 pfo0 <br /> I hereby certify that all information submi0ed in this and all attached documents contain true and accurate deseriptions of the waste. All slippers Information regarding known or suspected hazards <br /> associated With the wastes has been disclosed.I ceriffy that wm have an established program to reduce the volume of paste to the degree to be nomicaty practicable. <br /> DRI J r// GENERATOR (/ <br /> CI(:NCTIIRF / R1/. /1/✓ SIf.NATIIRF ��/MMW�� <br />