Laserfiche WebLink
Van de Pol/Pacific Pride 351 Beckman Rd . Lodi , CA 95240 <br /> Icon Environmental Services Inc WE ACCEPT VISA$MASTERCARD <br /> P,0 Box _ I , <br /> Union Cityty CA 94587 <br /> E :. <br /> _ REMIT TO: Bill of Lading <br /> I P.O.Box 2407 UNION CITY,CA 94587-2407 P.O.Box 349 SILVER SPRINGS.NV 89429.0349Invoice N20V 007'1 <br /> 1 (800)499.3676 FAX(510)476-1786 (775)577-9001 FAX(775)577.9199 <br /> CAR 000 007 013 NVD 982 358 483 ((1001 471-2105 <br /> Data,//-_� <br /> BILLING INFORMATION JOB SITE <br /> NAME <br /> .� N A)E — r,l ! PO• CASH CHECK <br /> /ikt <br /> ADURES:' 7"S'T <br /> CSJ ER EPA 10 et'�; -C STATEZIP CITY c ZI PRORLE 1 , <br /> PHONE NO. PHGlJF;u; CUSTOMER 10 x <br /> 1 ( 1 <br /> 1 PRODUCT PROPER WASTE MANIFEST NUMBER QUANTITY UNITS PRICE AMOUNT <br /> SHIPPING DESCRIPTION CODE <br /> Used Od,Non•RCRA Hazardous <br /> Waste,Liquid 221 <br /> Used Automotive Antitreeze.Non-RCRA <br /> Hazardous Waste,Llgwd 134 <br /> Oily Water Non-RCRA Hazardous GOA 7 Oji j LI DM S'r C+ <br /> Waste.Liquid <br /> - <br /> Non RCRA Hazardous Waste Solid <br /> Oil Contaminated Oebns'Su" <br /> Waste Combustible Liquid nos 3 <br /> UN1993,PG III --- <br /> Non Hazardous Wasto L <br /> aziquid <br /> Non Hazardous Wasle Solid <br /> Transportation Charges - <br /> Washout Charges <br /> Drained Used Oil Powers - - - — <br /> Empty Drums <br /> Additional Labor ` <br /> 1 Pressure Washer <br /> Other: <br /> -- .::ua1tW awlrlmnre cam,1.. <br /> DISPOSAURECYCLING FACILITY: TOTAL <br /> sxa,.lu weoRTedr <br /> r,.x,:, ;,'•...,. 51765 S.VW A.u.Yomfn.fa <br /> CAD097030997 90058 <br /> cam)280-774, <br /> ;101 na 1719 <br /> Vrct<Rxonry nOU.ur:e � - .•-.Ie•r,arN-UnWnGr1Y.CA <br /> 1150 P=tl+ LM AflQ—,CA <br /> CAD 0.78 7:3 AU5 50023 <br /> L.M.fYb IfOrpOnn CrMaY A O'Nnan <br /> 70(x1 N AkmeOa 01W.Campton.1A 1970 W 17m SI-1-Long t3uacn.CA --- — <br /> CAT OW 019 757. 90227 CAD 028 409 010, 8010.1 <br /> !3101537.7100 <br /> Irown Or fufPf'u�heIHW <br /> onlPin Ove ab naurate rMOcnPr'a^f N the w051.A4 rel0-rrlunrr^4°^1r•�0°A�d�.-.� <br /> AMf4Y�+r1rtY 9u1 YI ntrnmAMn:uuml:an n tnu Nr4 ra eller F�°R"n°21�� m wnfb tP n��.9F"'w aave°"f"'/NfcflNbw <br /> YJM ~ Ne lieu eflealrW�pOTam b reOUCa tlw•oluma ,• <br /> rA0tb1 I[Ifrt9Y J' / 1- <br /> � I i GENERA70R'� � <br /> { � _- SIGNATURES <br /> _,- <br /> _-_ -_ t-- _._ Photo taken on July 28, 2013 <br />