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WE ACCEPT v(SA& MASTERCARD <br /> dr- CLEARWATER Eft =WSA <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# 113912 <br /> (800)499-3676 FAX (510)476-1786 (775)577-9001 FAX (775)577-9199 /1 <br /> CAR 000 007 013 NVD 982 358 483 (800)471-2105 Date✓2 'DT-QS <br /> BILLING INFORMATION JOB SITE <br /> NAME NAME PO# CASH CHECK <br /> -7Zq L v'b <br /> ADORE A SS CUSTOMER EPA ID <br /> nn C 241 <br /> CITY STATESTATEIP PROFILE# <br /> PHONE NO. PHONE NO. CUSTOMER ID# <br /> c ) i716 1 —X007 <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 /> DISPOSAURECYCLING FACILITY: Calectionstation Industrial Agriculture Government Marina TOTAL <br /> Alvino Independent Oil O Clearwater Environmental Mgmt.Inc. O DIK Environmental _ <br /> 50W Archer Strast; ANiso.CA 2430 Almontl Dr. 3650 E.26th Sheet Vernon.CA <br /> CAL 000 161 743; 95002 Silver Springs,NV 89429 CATMIK13631; 90023 � FT <br /> (510)47&1740 NVD 982 359 403 (323)269-5056 <br /> (775)57)-9001 <br /> Onyx Environmental Services O Seapod Environmental Commercial Filler Recyding <br /> 1125 Hensley Sheer: Richmond,CA 675 Seaport BNd; RLwood City CA 33210 Western Ave; Union City,CA <br /> CAT 080 022 148: 94BUI CAR 000140 624: 94063 (510)487-9227; 94587 <br /> (510)233-8001 (650)364-8154 <br /> DeMenno Kerdoon Q Evergreen Oil <br /> 2000 N.Alameda Blvd; Compton,CA 6n9O smith Ave; Newark,CA <br /> CAT Ono 013 352: 90222 CAD 980 887 4111; 94560 <br /> (310)537-7100 (510)795-0400 <br /> 1 hereby certify that all information submitted in this and all attached documents contain true and accurate descriptions of the waste.All relevant infoenation regarding known or suspected hazards <br /> associated h 1�\ wastes has been disclosed.I dify Ihal we have an established program to reduce the volume of waste to the de�``�/ty��,economically practicable. <br /> DRIVER \� GENERATOR f y <br /> clrlki 110 1\ CIGNATIIRF `/, <br />