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1+'REIVIUM N VIKUNM +'Nr1AL " q RV1CL5, 1NC. <br /> Send Payment to: Phono: 800-- 3274 EPA ID#CAR000171017 <br /> - -P.O.Box 2875 Phone: 707.448-3700 U.S.D.O.T.#14$4667 INVOICE # 09982 <br /> Vacaville,Ca 95696.2875 Fax: 707.448-3499 D.T.S.C.#3544 , Pr <br /> 'www.hazwastmmoval.comCA#274461 Date � 6 <br /> BILLING/MAIi4NG AgqppRESS <br /> Customer Baron Farms Customer tiaroni Farms <br /> Address 24775 Blossom Rd Addressi 6001 Stanley Rd <br /> Thornton, CAP5686 Stockton, CA 95215 <br /> City tate Zip City State . Zip <br /> E.P.A.# CAL 000 976 603 Phone fax <br /> Phone Numbers: Office(209 2215796._-` Fax( j Cell ( ) <br /> Contact: Allfan iii E-mail: <br /> PRODUCT - SERVICE INFORMATION PROPER SHIPPING DESCRIPTION <br /> 30 60 90 180 365 TT Y NH S WASTE MANIFEST NUMBER QUANTITY UNITS PRICE AMOUNT <br /> CODE <br /> Non-RCRA Hazardous Waste Liquid (Used Oil) CA 221 <br /> Non-RCRA Hazardous Waste Liquid (Used Anti-Freeze) CA 134 <br /> Non-RCRA Hazardous Waste Liquid (Oily Water) CA 223 <br /> Non-RCRA Hazardous Waste Sold (Oil Contaminated Debris,Sol) CA 223 <br /> NOn-RCRA Hazardous Waste Liquid (Latex Point) CA 291 <br /> Drained used oil /Gasoline/ Diesel/ Filters N-A <br /> Combustible Liquid,N.O.S., NA 1993 (used oil) III CA 221 <br /> Waste Paint Related Materials,3 UN 1263, Pis, 331pot <br /> Waste Flammable Liquid,N.OS.,3,UN T993,PG R(Gasoline�lesel) 331 ole <br /> Waste Aerosols,N.O.S.2.1, UN 1950 PG 331 <br /> Dopt <br /> Empty Drums Provide O Remove Q 5g❑ 1 Og ❑ 15g❑ 30g❑ 55g❑ S P F <br /> Clor-D-Tect 04000 Test Kit: Test Cl Pass❑ Fail ❑ Generator Knowledge XPPM J <br /> Transportation Charges/Additional Truck Time/Additional Labor/LAB Packing/Site Cleaning <br /> A6ditional Equipment Supplies <br /> Hazardous Waste Labels <br /> Used 01 Disposal Fee <br /> TAX <br /> Accei3t i� I>t® fes l i® P.O.# TOTAL CHARGES: r'+ <br /> dieNERATOR'e CORTI/ICATION: I heYeby daclaro that fh9 COnrents or fli comfgnmeni illy and 0c orf ly tlespibed tlbove by PraPer shipping name and are Classified.CPCRCd.mafkEd.old <br /> coaled,and are in all respects in proper condition far transport by highway according to applicable slate and national govemhtenl regulations If I am o large quantity generalar.I cer8ly that I <br /> have o progrgm in place to retivice the volume and toslklty of wosre generated to the tlegree nave determined to be economicCYy practicable and that have selected the practicable method <br /> of freso"re nt,storage,or,disposal currently available to me which minimaed the present and lutare ttROar to human heath and the environment:OR,it I am a$mail quantity generator,I have made <br /> a good fa11h 001 to minimae my waste generation and select;rte Desi waste management melhod that is available to me and that I can afford. A5 used o6 From the geneatgr listed above <br /> wd be transported only to a faculty perm Ited by the State of California to produce used oft Into recycled oil aR a facility that is requited to Comply with Federal regulations applicable to the <br /> monagamenl of used all.All relevant information regarding known o,suspected hoeQd$associated with this waste has been disclosed. The customer Counts to pay reasonable Costs dud attorney <br /> fees Incurretl in the collection of thisobti tion. venue fo, ureases of thio ori ation shah be In Soleno Con . I declare unde nal of that Me t gin is true antl torte <br /> DLSPOSAL/RECYCLING FACILITY: Collection Station Industrial Agriculture I Co emmenT I Marine Other Ind st"al in find <br /> on <br /> Evergreen OIL Inc, General Emlronerental'Mmmgemeal.Inc. 0 Yeolla ES ERD7' Ramos Env4avin"hal <br /> 6880Smith Ave.,NeWhCommwark CA 94860 3 11855 e Rock Rd.,RanchCommCA 957a 5 5736 West Jehrsan,Phoenix,Al 85043 7 1515 S.River Ad,W.Sacraments,CA 95691 <br /> 510.795-4400 CAD 980867418 916.351.0980 CAD 9SM84783 00468-9095A20 000337360 916-371- 7 CAD 0/4008556 <br /> aw <br /> Q Cemrdol First Recycling Evergreen Environmental Service&.Davis Q Allotment Landlltl Bang LlC <br /> 1 33210 Western Ave.,Union Cli CA 94587 lead 308.Davis CA Milli 8 10140 AROMM Fan Id.,Urelmare,CA 14550 22211 Ad,Fallon,NY 89406 <br /> Si(G�#79227 51D.795-8400 CAD 962446/74 925.455-7300 r-40191111382732 77 -5082 NYA 000080655 <br /> a <br /> Print Nani Generator's Signature es Sgnatu — -- <br /> Slate Law Requires that you keep this RecNpt/BIB o3 Lading on file no le a yews, <br /> To Re-Arfivata or to nhtef n em FPA a-r-r Ivtnmcr mov rnhi 14Rr`ra .A AlA-aorto <br /> C00/ZOO2 OKI SOAS AN3 AROX2111d 606E86tLOLT YVa 96:6T 600Z/5T/ZT <br />