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I . <br /> WE ACCEPT vISA& 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 # 11435 -1 <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 N E PO# CASH CHECK <br /> 1� <br /> DDRESS ADD ESS CUST MER EPA ID# <br /> s '42, i <br /> CIT STATE ZIP CITY STATE ZIP PROFILE# <br /> 7 - <br /> PHONE NO. PHONE NO. CUSTOMER ID# <br /> ( ) o S V'd 7 2 1( ) <br /> PR UCT PROPER WASTE MANIFEST NUMBER QUANTITY UNITS PRICE AMOUNT <br /> SHIPPING DESCRIPTION CODE <br /> Used Oil, Non-RCRA Hazardous <br /> Waste, Liquid 221 d�v <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 Agriculture Government Mann. TOTAL <br /> ANiso Independent On O Clearwater Environmental Nigral.Inc. O DM Envimnmental <br /> 5002 Archer Street; Alvino,CA 2430 Almond Or. 3650 E 26th Street: Vernon,CA <br /> CAL 000161743; 95002 Silver Springs.NV 89429 CAT080033681: 90023 NET IO DAYS <br /> (510)476-1740 NVD 982 358 483 (323)26&5056 <br /> (n5)5n-9001 <br /> Onyx Environmental Services O Seaport Environmental O Catmercial Filter Recycling <br /> 1125 Hensley Smash Richmond,CA 675 Seapad Blvd; retlwood City,CA 33210 WesternAve; Union Cily,CA <br /> CAT 080 022 148; 94801 CAR 000140 624; 99063 (510)487-9227: 94587 <br /> (510)233-8001 (650)364-8154 <br /> DeMenno Midi Q Evegreen Oil <br /> 2000 N.Alameda Mud; Compton,CA 6880 Smith Ave; Newark,CA <br /> CAT 080 013 352: 90222 CAD 980 887 418; 94560 <br /> (310)537-7100 (510)795-4400 <br /> I hereby certify that all information submitted in this and all attached documents contain true and accurate descriptions of the waste.AA relevant information regarding known or suspected hazards <br /> associated with the wastes has been disclosed.I/dirytr w/.ave an eslablis program t U the volume of waste to Ne degre a economically practicable. <br /> DRIVER 1 /C N GENERATOR <br /> Ipp <br /> Cir AIAT[IDCIG4TIIAF <br />