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WE ACCEPT'v ISA& MASTERCARD <br /> dt CLEARWATER .i <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# 110 5 5 6 <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 /> NAM / NAME Poly CASH ;tEgk <br /> ADDRESS ADDRESS CUSTOMER EPA ID# <br /> TY STATE ZIP CITY STATE ZIP PROFILE# <br /> * rZ o <br /> P ONE NO. PHONE NO. CUSTOMER ID# <br /> ROD CT PROPER WASTE MANIFEST NUMBER QUANTITY UNITS PRICE AMOUNT <br /> SHIPPING DESCRIPTION CODE <br /> Used Oil, Non-RCRA Hazardous j <br /> Waste, Liquid 221 S <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 SMtion Inauslrial Agriouaure Government Marine TOTAL <br /> Alviso Independent Oil O Clearwater Envimmnvmtal Mgmt.Inc. O DA(Environmental <br /> 5002 Archer sheet ANiso.CA 2430 Almond Dr. 3650 E 26M—mat; V..CA <br /> CAL 000161743; 95002 Silver Springs,NV 89929 CAT080033681; 90023 NET - <br /> (510)4761740 NVD 982 359 483 (323)268-5056 <br /> (775)577-9001 <br /> Onyx Environmental Services O Seaport Envirorvnenlal Carvnercial FOer Recycling <br /> 025 Hensley Street; Richmond.CA 675 Seaport Blvd; Redwood Chy.CA 33210 Western Ave: Union City,CA <br /> T080022148; 94801 CAR 000140624; 94063 (510)487.9227; N587 <br /> (510)2338001 (650)364-8154 <br /> DeMenno Kemoon Evergreen at <br /> 2000 N.Alameda Blvd: Compton.CA fi880 Smbh Ave: Newark,CA <br /> CAT 080 013 352: 90222 CAD 980 887 418: 94560 <br /> (310)537-7100 (510)795-0400 <br /> I thereby certify that all information submitted in this and all attached documents comma me and accurate descriptions of the waste.All relevant information regarding known or suspected hazards <br /> assedated with Me wastes has been disclosed.I cerlify that we have an estabr program to reduce We volume of waste toIraIo be economicallpcticable. <br /> DRIVER GENERATOR <br /> CIr:NATIIRF .� SIfNAT11RF <br />