Laserfiche WebLink
FREMOUW NVIRONMENTAL - .MVICES, INC. <br /> Send.Payment to: Phone: 800, 3274 BPA M#CAR000171017 <br /> P.O.Box 2875 Phone: 707-448-37OW TLS.D.O.T."#1484667 INVOICE # 17 9 9 t <br /> Vacaville,Ca 95696-2875 Fax: 707-448-3499 D.T.S.C.#3544 Date t <br /> www.hazwaste=oval.com CA#274461 <br /> SITE ADDRESS "LUNG/MAKING AD KESS <br /> Customer BarOnl Farms Customer Caroni Farms <br /> 24775 Blossom Rd 6001 Stanley Rd <br /> Thornton, CA 95686 Stockton,, CA 95215 <br /> E.P.A. # CAL 000.175 603 — Phone <br /> Additional Contacts: <br /> — - r - <br /> PRODUCT - SERVICE INFORMATION PROPER SHIPPING DESCRIPTION <br /> 7 + 14 • 21 • 30 • 45 • 60 90 • 180 • 365 W/C WASTE <br /> CODE MANIFEST NUMBER QUANTITY UNITS PRICE AMOUNT <br /> Non-RCRA Hazardous Waste Liquid Used Oil CA 221 4 — <br /> Non-RCRA Hazardous Waste a uia Used Anti-Freeze CA 134 <br /> Norl-RCRA Hazardous Waste Liquid(Oily Water) CA 223 <br /> Drained Used Oil/Gasoline/Diesel Filters NIA <br /> Noll-rtCRA Hazardous Waste sdid Oil Contaminated Debris Soli CA.223 <br /> Parts Washer Service CA 223 <br /> Non-RCRA Hazardous Waste Liquid(Brake Fluid) CA 343 <br /> Waste Flammable Liquid,N.O.S.,3, UN1993,PGH(Gasoiirleasssel) 311D018 <br /> Empty Drums Provide [:] Remove O 1 Al IA2 5g❑ 1 Og❑ 15g ❑ 30g ❑ 55g❑ S P F <br /> CIw-D-Tett 04000 Test Kit: Test❑ Pass❑ Fail ❑ Generator Knowledge PPM 'a„ P't> <br /> Transportation Charges/Additional Truck Time/Additional Labor/LAB Packing/Site Cleaning <br /> Clean: ' Y N Lobefs A/F UOF Oily Debris <br /> SERVICES REQUESTED BY I L'j TAX S <br /> We ��;� <br /> q = <br /> t q P.O.# TOTAL CHARGES; <br /> GENERATOR'S CERVRCATION: I hereby declare that the conlenh of Ibis consignment ore full antl aacurotely described above by proper shipping name and aro classified,cooked.marked,and <br /> labeled.and are in all aspects in proper condition fat haspon by highway acccal to applicable state and notonel government reguk]tiOM. If I am a diquonlify generator,I certify that I <br /> nave oFiogrom In place to reduce the voll and todcty of wThe waste generated to e degree I hove determined to be economical oral and that 1 have selected the practicable nothl <br /> of treatment.storage.or Asoceal cunenhy available to me which minimized the presenl and future Threat tp human health and the env Ferment;OR,if I am o small quonTN generatof.I have made <br /> a goon faith effort to mtnlmrse my wcsre generol"on and select the best waste management method that i available to me and that I can afford AI used oil from the generator listed gbove <br /> w01 be tmnsporled only to a faculty per-Wea by the State of California to produce used oil into reeycletl 0 <br /> 11 OR .facluty that Is requ4ed to col With Federal regulations applicable to the <br /> management of Wed oil. All rNevenllnformaTcn regarding known or suspected hazards anadafed with MK a has been disclosed. The customer agrees to pay reasonable costs and attorney <br /> fees incurred In the cauectbn at this Inflation Venue for Ml This obi atton stab be In Sol=col . I all under penalty of nneri that the fornovia Is hue and correct, <br /> OISPC ,,( ECYCLING FACILITY: C011eetion Station IntlsssMol euNvra Government Marine Other Indu�sildal w olatasg <br /> . il Ot Inc. Oats [ 1EV&Voo[A.IM. [.]GEM listens Cordova LLC [ 1BIg SAyED.*wmenW [ 121sl GetdsYEh4' <br /> 44681 Rood 30B X80 Sloth A". I(MWhb Rack Rd 401 W.Cirernel Road 2095 Newlands Dr.,East <br /> 1- 'Oar4�,,Okk�rya'113 2 New'e��CA 9M ryyy� 3 RRol Cryoyrvd�ouq CA W42 <br /> q� 4 Been`icie,CA 9l� 5 FemteY,My/�89dyC6��yy,,,��,.,�� <br /> �. 6ta'I`iY•Wyl yVy I �1Y JVYI y.MV.N V�V Jq.Cq%41 J4, WO J S�1RM i1tW �IIAW1'[ICa CAL I173� 52U� I.YV.AVa.1V.13 <br /> f � <br /> • Name DI's ignofure DrNe/ StgnttnJre <br /> Slate Law Requ4e you keep Ibis ItICelpt/6111 of Lading on lfle 11 1 ..thin 3 rs. <br /> £OD/£Oo16 OKI SDAS AKH AaOliil 666£866LOLT YV,d LV:VT 600Z/ST/ZT <br />