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Van de Pol/Pacific <br />Pride 351 Beckman Rd. <br />j�� Slomw,f Wetrt Teti+ <br />Yo05S fn <br />8030 <br />Icon Environmental Services Inc <br />WE ACCEPT VISA $ MASTERCARD <br />P,0 Box _ <br />Union Cityty CA 94587 <br />I , <br />E :. <br />_ REMIT TO: <br />Bill of Lading <br />I P.O. Box 2407 UNION CITY, CA 94587-2407 P.O. Box 349 SILVER SPRINGS. NV 89429.0349Invoice tl20V 007'1 <br />1 476-1786 577-9001 FAX <br />(800) 499.3676 FAX (510) (775) <br />(775) 577.9199 <br />CAR 000 007 013 NVD 982 358 483 <br />((1001 471-2105 <br />Data,//-_� <br />BILLING INFORMATION JOB SITE <br />.� <br />t <br />N A)E — <br />. <br />,ak' <br />NAME <br />r,l ! PO• CASH CHECK <br />CyJ ER EPA 10 e ' <br />ADURE$''7"S'T <br />—�c <br />C STATE ZIP <br />CITY <br />ZI PRORLE 1 , <br />PHONE NO. PHGlJF ;u; <br />CUSTOMER 10 e <br />1 <br />1 <br />( 1 <br />PRODUCT PROPER <br />WASTE <br />MANIFEST NUMBER <br />QUANTITY UNITS PRICE AMOUNT <br />SHIPPING DESCRIPTION <br />CODE <br />Used Oil, Non•RCRA Hazardous <br />Waste, Liquid <br />221 <br />J Automotive Antitreeze. Non-RCRA <br />Lr o Waste, Liquid 134 <br />Water Non-RCRA Hazardous <br />Non RCRA Hazardous Waste Solid <br />Oil Contaminated Oebns 'S"" <br />Waste Combustible Llquld nos 3 <br />UN1993, PG III <br />Non Hazardous Wasle Liquid <br />Non Hazardous Wasle Solid <br />Transportation Charges <br />Washout Charges <br />Drained Used Oil Filters <br />Empty Drums <br />Additional Labor <br />Pressure Washer <br />W')27 O5 3 LI 1 0-2 iDj'k+_*'� 1-6 <br />DISPOSAURECYCLING FACILITY: - <br />'� ' :ua W Awlrlmnre ww , •. TOTAL <br />j�� Slomw,f Wetrt Teti+ <br />Yo05S fn <br />8030 <br />r...:2 A,,.x 15" 1,., <br />'sxJ2 Nc7w, '.,,-,t ;, ,. <br />"). <br />CAD 0070907/7 9005A <br />.. ' <br />CAL 000101 <br />i 101 na 17470 <br />-mmetcmlAWrP U. -G,IY. �A <br />nu50u,:a <br />V150 <br />- I r $UOnWn <br />rwa LPs An004q, GA <br />=tlo <br />:/� O7B 257 105 50079 <br />CAD DA <br />LeM— AOrpOnn C'- y A O•Nnm <br />7000 N Al.me0a 01W. Campton. 1A / 7070 W 17m &IlaPl. Long t3uicn. CA -- — — <br />CAi OEO 019957. 90727 / CAD 028 4708 0111, 9010.1 <br />!3,D1537.71m <br />Ix>wn Pr wcP•f,W haIHW <br />ab naurite 4etcnPl'wLf N,he wish A4 rplevOnl „,W,N� t.D•'��9 �-•� <br />Oil N Y11rnRuWl:OPm1tM riNlf gt4011 aIrYtl fOONnYD� contP�n Ova �1�IyePv8G10 <br />m b rWUCa tlwvoluma d w0ete l0 tlN OeWea n lry �plrn I 1 <br />yle nuye Mabel I [MOY Ne hoe OflapaYr�pow° 4 <br />i GENERATOR <br />.� SIGNATURE�I <br />r _ <br />Lodi, CA 95240 <br />Photo taken on July 28, 2013 <br />